Long-time Retaining of Intradermal Needles in Treating Pharyngeal Dysphagia after Cerebral Stroke / 上海针灸杂志

ABSTRACT

Objective To observe the clinical efficacy of long-time retaining of intradermal needles plus rehabilitation training in treating pharyngeal dysphagia after cerebral stroke.Method Sixty patients with pharyngeal dysphagia after cerebral stroke were randomized into treatment group 1,treatment group 2 and a control group,20 cases each.In addition to the basic treatment and nursing,the control group received rehabilitation (neuromuscular electrical stimulation plus swallowing training);treatment group 1 was given long-time retaining of intradermal needles based on the intervention given to the control group;treatment group 2 received electroacupuncture in addition to the intervention given to the control group.After 3-week treatment,the changes in Toshima Ichiro swallowing assessment of the three groups were observed,and the clinical efficacies were also compared.Result After the intervention,each group showed a significant change in the score of Toshima Ichiro swallowing assessment (P＜0.05).Treatment group 1 and group 2 were both significantly different from the control group in comparing the score of Toshima Ichiro swallowing assessment after the treatment (P＜0.05).The total effective rate was 95.0％ in treatment group 1,90.0％ in treatment group 2,and 60.0％ in the control group.The total effective rates in treatment group 1 and 2 were both significantly different from the rate in the control group (P＜0.05).There were no significant differences in comparing the score of Toshima Ichiro swallowing assessment and total effective rate between treatment group 1 and 2 after the intervention (P＞0.05).Conclusion Long-time retaining of intradermal needles plus rehabilitation is an effective approach in treating pharyngeal dysphagia after cerebral stroke,and its efficacy is equivalent to that of electroacupuncture.