舌三针针刺联合门德尔松手法治疗脑卒中后吞咽障碍患者的临床研究OA

Objective:To explore the efficacy of tongue three-needle acupuncture combined with Mendelssohn manipulation in treatment of post-stroke dysphagia.Methods:A retrospective analysis was conducted on patients with post-stroke dysphagia.According to different treatment regimens,patients were divided into the swallowing training group(conventional swallowing rehabilitation training)and the tongue three-needle group(tongue three-needle acupuncture combined with the Mendelsohn manipulaton based on swallowing rehabilitation training).Propensity score matching was applied to eliminate baseline confounding factors,resulting in 60 patients in each group.Clinical efficacy,TCM symptom scores,and swallowing function,including the Standardized Swallowing Assessment(SSA)and the Water Swallow Test(WST),were compared between the two groups before and after the treatment.Nutritional status indicators,including hemoglobin(Hb)and albumin(ALB),as well as the incidence of aspiration pneumonia,were also evaluated.Results:The clinical efficacy of the tongue three-needle group was 96.67％(58/60),which was significantly higher than 86.67％(52/60)of the swallowing training group(P＜0.05).After the treatment,TCM symptom scores significantly decreased in both groups,with the tongue three-needle group showing significantly lower scores than the swallowing training group(P＜0.05).Swallowing function was significantly improved in both groups,as reflected by improved WST grades,with greater improvement observed in the tongue three-needle group(P＜0.05).The SSA scores were significantly reduced in both groups and were significantly lower in the tongue three-needle group compared with the swallowing training group(P＜0.05).Nutritional status improved in both groups,with increased Hb and ALB levels,and the tongue three-needle group showed significantly higher levels than the swallowing training group(P＜0.05).There was no statistically significant difference in the incidence of aspiration pneumonia between the two groups(P＞0.05);the findings Provide evidence to support the clinical application and wider adoption of this therapy.Conclusion:Tongue three-needle acupuncture combined with the Mendelsohn manipulation can effectively treat post-stroke dysphagia,improve swallowing function,and consequently ameliorate nutritional status;the findings provide evidence to support the clinical application and wider adoption of this therapy.