Observation on the efficacy of post-stroke dysphagia treated with He’s santong acupuncture therapy through surface electromyography: a randomized controlled trial
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Observation on the efficacy of post-stroke dysphagia treated with He’s santong acupuncture therapy through surface electromyography: a randomized controlled trial
LIU Lu, Lü Tian-li, NIE Li-min, et al. Observation on the efficacy of post-stroke dysphagia treated with He’s santong acupuncture therapy through surface electromyography: a randomized controlled trial[J]. Acupuncture research, 2022, 47(3): 256-261.
DOI:
LIU Lu, Lü Tian-li, NIE Li-min, et al. Observation on the efficacy of post-stroke dysphagia treated with He’s santong acupuncture therapy through surface electromyography: a randomized controlled trial[J]. Acupuncture research, 2022, 47(3): 256-261. DOI: 10.13702/j.1000-0607.20210197.
Observation on the efficacy of post-stroke dysphagia treated with He’s santong acupuncture therapy through surface electromyography: a randomized controlled trial
目的:利用表面肌电图(sEMG)观察贺氏三通法治疗脑卒中后吞咽障碍的临床疗效。方法:根据区组随机法将60例脑卒中后吞咽障碍患者分为常规治疗组及贺氏三通法组,每组30例。常规治疗组予脑卒中二级预防治疗及吞咽康复训练,贺氏三通法组在常规治疗组基础上予微通、温通、强通治疗(微通法常规针刺双侧风池、风府、翳风、廉泉、夹廉泉、丰隆和通里,留针30 min
Objective To observe the clinical therapeutic effect on post-stroke dysphagia treated with He's santong(triple promotion) acupuncture therapy through surface electromyography(sEMG). Methods A total of 60 patients with post-stroke dysphagia were divided into a routine treatment group and a He's santong acupuncture therapy group
using blocked randomization
30 cases in each one. In the routine treatment group
the secondary prevention and swallowing rehabilitation training were adopted. In the He's santong acupuncture therapy group
on the base of the treatment as the routine treatment group
weitong(mild promotion
routine acupuncture at bilateral Fengchi [GB20]
Fengfu [GV16]
Yifeng [TE17]
Lianquan [CV23]
Jia-lianquan [Extra]
Fenglong [ST40] and Tongli [HT5]
needle retaining for 30 min
5 treatments a week)
wentong(warm promotion
pricking with fire needle at bilateral GB20 and CV23
twice a week) and qiangtong(strong promotion
blood-letting with three-edge needle at Jinjin [EX-HN12]
Yuye [EX-HN13] and Yanhoubi [Extra]
twice a week) treatment was added. The therapy was given consecutively for 4 weeks in each group. The score of fiberoptic endoscopic examination of swallowing(FEES) and Rosenbek-penetration-aspiration scale(PAS)
the score of swallowing grading scale
the score of the modified Mann assessment of swallowing ability(MMASA) and the peak amplitude of sEMG were recorded before and after treatment in patients. Results Compared with before treatment
the score of FEES and PAS after treatment was decreased(P<0.05)
the scores of swallowing grading scale and MMASA after treatment were increased in both routine treatment group and He's santong acupuncture therapy group(P<0.05)
the peak amplitude of sEMG was increased(P<0.05) in the He's santong acupuncture therapy group and decreased(P<0.05) in the routine treatment group. Compared with the routine treatment group
the score of FEES and PAS was decreased(P<0.05)
the scores of swallowing grading scale and peak amplitude of sEMG were increased in the He's santong acupuncture therapy group(P<0.05). Conclusion He's santong acupuncture therapy is obviously effective on post-stroke dysphagia
which may be related to its effects in increasing the contraction of swallowing-related muscles and improving the peak amplitude of hyoid muscle group.