点穴疗法联合耳穴电针治疗急性脑梗死后吞咽障碍的临床研究OA

Objective:To observe the effect of point pressure therapy combined with auricular electroacupuncture on deglutition disorders after acute cerebral infarction. Methods:A total of 124 patients with deglutition disorders after acute cerebral infarction were randomly divided into a Tuina(Chinese therapeutic massage)group and a combined group using the random number table method,with 62 patients in each group.Both groups received the same conventional treatment.The Tuina group was additionally treated with point pressure therapy,while the combined group received auricular electroacupuncture based on the Tuina group's treatment.After 2 courses of treatment,changes in swallowing function,the amplitude and latency of motor evoked potentials(MEPs),and tongue muscle thickness were observed in both groups.Adverse reactions during treatment were recorded,and clinical efficacy was evaluated. Results:After treatment,the total effective rate in the combined group was 95.2%,which was significantly higher than 80.7%in the Tuina group(P<0.05).In both groups,the standardized swallowing assessment(SSA)score and MEP latency were significantly decreased(P<0.05),while the videofluoroscopic swallowing study(VFSS)score and MEP amplitude were significantly increased(P<0.05);the differences in these indicators between the two groups were statistically significant(P<0.05).The change in tongue muscle thickness in the combined group was significantly greater than that in the Tuina group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups during treatment(P>0.05). Conclusion:Based on conventional treatment,point pressure therapy combined with auricular electroacupuncture has better clinical efficacy than point pressure therapy alone in the treatment of deglutition disorders after acute cerebral infarction.The combined therapy can more significantly improve swallowing function and decrease tongue muscle thickness,with high safety.