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>Clinical observation of acupoint injection combined with nerve electrical stimulation in the treatment of post-stroke dysphagia
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Clinical observation of acupoint injection combined with nerve electrical stimulation in the treatment of post-stroke dysphagia
Background: Post-stroke dysphagia is one of the common clinical symptoms in the rehabilitation department ofprimary hospitals, which seriously affects the quality of life of patients and their families. Majority of medicalworkers have comprehensively studied post-stroke dysphagia as it easily induces inhalation pneumonia, asphyxia, and many other complications. At present, many methods for post-stroke dysphagia have been proved to beeffective. With regard to comprehensive treatment effect, patient compliance, technology promotion difficulty, grassroots hospital operability, and other factors, we found that acupoint injection combined with nerve electricalstimulation is a good method worthy of promotion. Methods: A total of 130 patients with dysphagia after strokewere randomly divided into nerve electrical stimulation group (n = 41), acupoint injection group (n = 40), andcomprehensive treatment group (nerve electrical stimulation plus acupoint injection, n = 49). The therapeutic effectin each group was evaluated before treatment and 20 days after treatment using the improved water swallow test, video fluoroscopic swallowing study, and standardized swallowing assessment. Results: After 20 days of treatment, significant differences were noted in each group. The scores of improved water swallow test decreased from 4.10± 0.74 to 2.12 ± 0.95 in the nerve electrical stimulation group, 4.00 ± 0.78 to 2.28 ± 1.04 in the acupointinjection group, and 4.16 ± 0.77 to 1.73 ± 0.79 in the comprehensive treatment group; video fluoroscopicswallowing study scores increased from 3.71 ± 2.16 to 5.05 ± 2.111 in the nerve electrical stimulation group, 3.80 ± 1.94 to 5.20 ± 1.942 in the acupoint injection group, and 3.73 ± 2.22 to 6.24 ± 2.21 in thecomprehensive treatment group; and standardized swallowing assessment scores of the three groups also decreasedfrom 35.13 ± 3.38 to 28.17 ± 3.42, 34.66 ± 3.46, and 34.48 ± 3.26 to 26.39 ± 3.86, respectively. The overallscores of each group after treatment were significantly different from those before treatment (P 0.05), indicatingthat both nerve electrical stimulation and acupoint injection were effective for post-stroke dysphagia; the scores ofnerve electrical stimulation group and acupoint injection group were similar, but those of the comprehensivetreatment group were significantly better than the single treatments (P 0.05). It shows that the two treatmentmethods have synergistic effect, and combined treatments have more benefits. Conclusion: Nerve electricalstimulation and acupoint injection have a synergistic therapeutic effect on post-stroke dysphagia. The combinedtreatment is more beneficial to patients with post-stroke dysphagia than the single treatments.
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