Résumé
Objective To observe the influence of nape acupuncture therapy on swallowing function of patients with cerebral infarction. Methods Eighty patients with dysphagia after cerebral infarction were recruited and randomly allocated to the nape acupuncture group and the control group, 40 each group. Both groups were given general medicine therapy and swallowing functional training, while the nape acupuncture group was given nape acupuncture based on the control group, and fiberoptic nasopharyngoscopy was used for the swallowing function before and after treatment. Rosenbek Penetration-Aspiration Scale (PAS) score of 5ml pudding food, 5ml and 10ml liquid food, and the scores for bedside water-swallowing test and standardized swallowing assessment (SSA) were obtained. Before and after treatment, the differences between the two groups were identified respectively. Results After treatment, the scores of SSA and PAS of swallowing of 3 kinds of food in both groups were significantly improved compared with those before treatment (P<0.05). The improvement of SSA and PAS scores of 5ml and 10ml liquid food in the nape acupuncture group were superior to the control group (P<0.05). The total effective rate of the nape acupunture group was significantly higher than that of control group (χ2=5.00, P<0.05). Conclusion Nape acupuncture therapy may significantly improve the swallowing function of patients with dysphagia following cerebral infarction.
Résumé
Objective To observe the clinical efficacy of nape acupuncture plus basic treatment and rehabilitation in treating pseudobulbar palsy after cerebral stroke and the relation between the efficacy and age of onset. Method A hundred patients were randomized into an observation group and a control group, 50 cases each. The control group was intervened by basic treatment and swallowing rehabilitation training, and the observation group was intervened by nape acupuncture in addition to the treatment given to the control group, once a day, five sessions a week, for 8 weeks in total. The Repetitive Saliva Swallowing Test (RSST), Water Swallowing Test (WST) and Standardized Swallowing Assessment (SSA) were observed in the two groups before and after the treatment; the relation between the age of onset and the efficacy of the integrated treatment method was also observed. Result The scores of RSST, SSA and WST were significantly improved after the treatment in both groups (P<0.01), and the improvements in the observation group were more significant than those in the control group (P<0.01). The therapeutic efficacy of nape acupuncture plus basic treatment and swallowing rehabilitation training was associated with the age of onset (P<0.05). Conclusion Nape acupuncture plus basic treatment and swallowing training can effectively improve dysphagia in pseudobulbar palsy after cerebral stroke. This method produces the most significant efficacy for patients aged 51-60, better than that for those aged over 60 and equivalent to the efficacy for patients aged 41-50.