Therapeutic effect of cortex‐pharynx‐tongue root acupuncture combined buccal muscle electrical stimu‐lation on dysphagia after stroke／ / 心血管康复医学杂志

ABSTRACT

To explore therapeutic effect of cortex‐pharynx‐tongue root acupuncture (CPTA ) combined buccal muscle electrical stimulation (BMES) on patients with dysphagia after stroke .Methods:According to pro‐spective randomized controlled method ,a total of 92 patients with dysphagia after stroke were randomly and equally divided into routine rehabilitation group and electrical stimulation acupuncture group (ESP group ,received BMES combined sequential CPTA based on routine rehabilitation group ) ,both groups were continuously treated for four weeks .Classes of functional oral intake scale (FOIS) and water swallowing test (WST) before and after treatment , and total effective rate were observed and compared between two groups .Results:Compared with before treatment , there was significant rise in FOIS class ,and significant reduction in WST class in two groups after treatment , P＝0.001 all ; compared with routine rehabilitation group after treatment , there was significant rise in FOIS class [ (4. 41 ± 0.47) classes vs.(5.45 ± 0. 21) classes] and significant reduction in WST class [ (2.76 ± 0.27) classes vs . (2.02 ± 0. 23) classes] in ESP group , P＝0.001 both .Total effective rate of ESP group was higher than that of rou‐tine rehabilitation group (95.65% vs.84.78%) , but without significant difference , P＝0.160. Conclusion:Cortex‐pharynx‐tongue root acupuncture combined buccal muscle electrical stimulation possesses significant therapeutic effect for ingestion and drinking water in patients with dysphagia after stroke ,which is worth extending .