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Fire-needle therapy for deglutition disorders in post-stroke pseudobulbar palsy: a randomized controlled trial

火针治疗中风后假性延髓麻痹吞咽困难的随机对照试验

  • Clinical Study
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Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

Abstract

Objective

To observe the clinical efficacy of fire-needle therapy in treating deglutition disorders due to pseudobulbar palsy in the remission stage of stroke.

Methods

Sixty-two eligible subjects were divided into a fire-needle group and a rehabilitation group by a simple randomization method at a ratio of 1:1. The two groups received same basic intervention; in addition, the fire-needle group received fire-needle treatment, while the rehabilitation group received rehabilitation training. The two groups of subjects all received a 3-week treatment and were evaluated by the dysphagia severity rating scale (DSRS), modified Mann assessment of swallow ability (MMASA) and Kubota Toshio swallow test (KTST) before and after the intervention. The complications and adverse events occurred during the trial were recorded. The data were statistically analyzed.

Results

At the third week, the DSRS, MMASA and KTST scores changed significantly compared with the baseline in both groups (P<0.05), and the changes in the fire-needle group were more significant than those in the rehabilitation group (P<0.05). The between-group comparison at the third week showed that the therapeutic efficacy in the fireneedle group was superior to that in the rehabilitation group (P<0.05).

Conclusion

Fire-needle therapy can obviously change the DSRS, MMASA and KTST scores in pseudobulbar palsy in the remission stage of stroke, and significantly enhance the therapeutic efficacy of the treatment of deglutition disorders in this stage.

摘要

目的

观察火针治疗卒中恢复期假性延髓麻痹吞咽困难的临床疗效。

方法

将符合纳入标准的62例受试者按1:1比例采用简单随机法分为火针组和康复组。两组接受相同的基础治疗, 火针组加用火针治疗, 康复组加用 康复训练。两组受试者均治疗3周, 分别在治疗前、治疗后进行吞咽严重程度量表(DSRS)、改良版Mann吞咽量表 (MMASA)和洼田俊夫饮水测试(KTST)三个量表的评价, 并对实验过程中的并发症、不良反应等进行记录, 最后对研究数据进行统计学分析。

结果

在第3周, 两组DSRS、MMASA和KTST与治疗前比较有显著改变(P<0.05), 且火针组与康复组比较差异显著(P<0.05)。在第3周时两组间疗效比较, 火针组疗效均优于康复组(P<0.05)。

结论

火针可以显著改变卒中恢复期假性延髓麻痹的DSRS、MMASA和KTST评分, 显著提高卒中恢复期假性延髓麻痹吞咽困难的疗效。

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Acknowledgments

This work was supported by National Natural Science Foundation of China (国家自然科学基金, No. 81473761, No. 81704181); Key Research Project of Economic and Social Development in Heilongjiang Province (黑龙江省 经济社会发展重点研究课题, No. JD2017019).

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Authors and Affiliations

  1. Heilongjiang University of Chinese Medicine, Harbin, 150040, China

    Yu-huai Guo  (郭玉怀), Zhong-ren Sun  (孙忠人), Fan Jiang  (姜凡) & Ming-zhen Wang  (王明振)

  2. Guangzhou University of Chinese Medicine, Guangdong, 510006, China

    Shuo Cai  (蔡硕)

  3. The Second Hospital Affiliated to Heilongjiang University of Chinese Medicine, Harbin, 150001, China

    Ze Jin  (金泽), Qing-shuang Wei  (魏庆双) & Hong-na Yin  (尹洪娜)

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  1. Yu-huai Guo  (郭玉怀)
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  2. Zhong-ren Sun  (孙忠人)
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  3. Shuo Cai  (蔡硕)
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  4. Ze Jin  (金泽)
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  5. Qing-shuang Wei  (魏庆双)
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  6. Fan Jiang  (姜凡)
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  7. Ming-zhen Wang  (王明振)
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  8. Hong-na Yin  (尹洪娜)
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Correspondence to Hong-na Yin  (尹洪娜).

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Guo, Yh., Sun, Zr., Cai, S. et al. Fire-needle therapy for deglutition disorders in post-stroke pseudobulbar palsy: a randomized controlled trial. J. Acupunct. Tuina. Sci. 16, 375–381 (2018). https://doi.org/10.1007/s11726-018-1077-4

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  • DOI: https://doi.org/10.1007/s11726-018-1077-4

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