Clinical observation of coiling dragon needling plus chin tuck against resistance training for post-stroke deglutition disorders  

盘龙针刺法联合下颏抗阻力训练治疗脑卒中后吞咽障碍临床观察

作　　者：TANG Liying ZHU Lili ZHOU Ying YU Mei ZHANG Yuan 唐李莹;朱莉莉;周英;余梅;张垣(Wenzhou TCM Hospital of Zhejiang Chinese Medical University,Wenzhou 325000,China)

机构地区：[1]Wenzhou TCM Hospital of Zhejiang Chinese Medical University,Wenzhou 325000,China

出　　处：《Journal of Acupuncture and Tuina Science》2025年第1期49-55,共7页针灸推拿医学(英文版)

基　　金：温州市科技计划项目,No.Y20210966。

摘　　要：Objective:To explore the clinical efficacy of coiling dragon needling plus chin tuck against resistance(CTAR)training for post-stroke deglutition disorders and its impact on surface electromyography.Methods:A total of 100 patients with post-stroke deglutition disorders were randomly divided into two groups,with 50 cases in each group.Both groups received the same CTAR training,and the observation group was treated with additional coiling dragon needling.Both groups were treated for 2 weeks.The clinical efficacy,swallowing function,average value of the maximum amplitude of surface electromyography,quality of life,and the difference in adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the standardized swallowing assessment(SSA),aspiration score,and deglutition disorders score of the videofluoroscopic swallowing study(VFSS)in both groups were significantly lower than those before treatment(P<0.05).The average value of the maximum amplitude of surface electromyography in the relaxed state,dry swallowing state,and the state of swallowing water,and the swallowing quality of life questionnaire(SWAL-QOL)score were all significantly higher than those before treatment in the two groups(P<0.05).After treatment,the SSA score,VFSS aspiration score,and VFSS deglutition disorders score in the observation group were lower than those in the control group(P<0.05),and the average value of the maximum amplitude of surface electromyography in the relaxed state,dry swallowing state,and the state of swallowing water,and the SWAL-QOL score in the observation group were higher than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Compared to CTAR treatment alone,coiling dragon needling plus CTAR treatment can enhance the clinical efficacy in treating patients with post-stroke deglutition disorders,enhancing the目的:探讨盘龙针刺联合下颏抗阻力训练(CTAR)治疗卒中后吞咽障碍的疗效以及对表面肌电的影响。方法:将100例卒中后吞咽障碍患者按照随机数字表法分为两组,每组50例。两组均采用相同的CTAR训练,观察组加用盘龙针刺法,两组均治疗2周。比较两组疗效、吞咽功能、表面肌电最大波幅平均值、生存质量以及不良反应差异。结果:观察组总有效率高于对照组(P<0.05)。两组治疗后标准吞咽功能评定(SSA)、吞咽造影检查(VFSS)误吸评分、VFSS吞咽障碍评分均较治疗前明显降低(P<0.05),放松状态、干吞咽状态、咽水状态时表面肌电最大波幅平均值和吞咽障碍特异性生存质量量表(SWAL-QOL)评分均较治疗前明显增高(P<0.05)。观察组治疗后SSA、VFSS误吸、VFSS吞咽障碍三项评分均低于对照组(P<0.05),放松状态、干吞咽状态、咽水状态时表面肌电最大波幅平均值和SWALQOL评分均高于对照组(P<0.05)。两组不良反应发生率差异无统计学意义(P>0.05)。结论:与单独CTAR治疗比较,盘龙针刺联合CTAR治疗可提高卒中后吞咽障碍患者的临床疗效,增强吞咽肌群收缩能力,改善吞咽功能和生存质量。

关 键 词：Acupuncture Therapy Coiling Dragon Needling Poststroke Syndrome Deglutition Disorders Resistance Training Surface Electromyography Randomized Controlled Trial 

分 类 号：R246.6[医药卫生—针灸推拿学]