采用动态荧光透视技术评估头体针结合治疗中风后吞咽障碍的临床疗效研究

Objective: To study the clinical effect of combined scalp and body acupuncture treatment for dysphagia after stroke by VFSS..Methods: Forty-one cases were randomized into the acupuncture and rehabilitation groups. The acupuncture group, which had twenty cases, was received with combined scalp and body acupuncture treatment. The control group, which had twenty-one cases, was received with modern rehabilitative treatment. Compare the clinical effect evaluated by bedside water-swallowing test and VFSS(including time parameter、oropharyngeal retention 、aspiration and permeability )between two groups pre and post treatment.Results:(1) At three months after the treatment, the clinical effect of acupuncture group which effective rate was 85% was better than rehabilitation groups which was 66.7%;(2) At two weeks after the treatment, the value of two groups were decreased in aspect of oropharyngeal retention、aspiration and permeability evaluated by VFSS（P<0.05）.There was no significant difference between two groups（P>0.05）.(3) At two weeks after the treatment, the time of oral cavity transmission、pharynx transmission and palatopharyngeal closed were decurtated in two groups（P<0.05）,and the the improve of acupuncture group was better than rehabilitation groups. Conclusion: The clinical effect of combined scalp and body acupuncture treatment for dysphagia after stroke was significant, and this method had been generally applicated in clinical therapy.