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Therapeutic Effect of Acupuncture Combining Standard swallowing training for Post-stroke Dysphagia:A Prospective Cohort Study

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Chinese Journal of Integrative Medicine 2016年第7期22卷 525-531页

作者：毛立亚李丽丽毛忠南韩艳萍张晓凌姚军孝李明 Department of Neurology and Rehabilitation Affiliated Hospital of Gansu University of Chinese Medicine Department of Dermatology Affiliated Hospital of Gansu University of Chinese Medicine Department of Neurology Affiliated Hospital of Gansu University of Chinese Medicine

Objective： To assess the therapeutic effect of acupuncture combining standard swallowing training for patients with dysphagia after stroke. Methods： A total of 105 consecutively admitted patients with post-stroke dysphagia in the Affiliated Hospital of Gansu University of Chinese Medicine were included： 50 patients from the Department of Neurology and Rehabilitation received standard swallowing training and acupuncture treatment （acupuncture group）; 55 patients from the Department of Neurology received standard swallowing training only （control group）. Participants in both groups received 5-day therapy per week for a 4-week period. The primary outcome measures included the scores of Videofluoroscopic Swallow Study （VFSS） and the Standardized swallowing Assessment （SSA）; the secondary outcome measure was the Royal Brisbane Hospital Outcome Measure for swallowing （RBHOMS）, all of which were assessed before and after the 4-week treatment. Results： A total of 98 subjects completed the study （45 in the acupuncture group and 53 in the control group）. Significant differences were seen in VFSS, SSA and RBHOMS scores in each group after 4-week treatment as compared with before treatment （P〈0.01）. Comparison between the groups after 4-week treatment showed that the VFSS （P=0.007） and SSA scores （P=0.000） were more significantly improved in the acupuncture group than the control group. However, there was no statistical difference （P=0.710） between the acupuncture and the control groups in RBHOMS scores. Conclusions： Acupuncture combined with the standard swallowing training was an effective therapy for post-stroke dysphagia, and acupuncture therapy is worth further investigation in the treatment of post-stroke dysphagia.

关键词： dysphagia stroke acupuncture swallowing training

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Effect of three tongue needles acupoints Lianquan(CV23) and Hegu(LI4) combined with swallowing training on the quality of life of laryngeal cancer patients with dysphagia after surgery

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Journal of Traditional Chinese Medicine 2022年第4期42卷 617-621页

作者： ZHU Xuewei LIU Minghui ZONG Minru CHEN Qianqian WANG Jianfeng Department of otolaryngology head and neck surgery China-Japan Union Hospital of Jilin UniversityChangchun 130033China Department of Chinese traditional Medicine China-Japan Union Hospital of Jilin UniversityChangchun 130033China Department of rehabilitation China-Japan Union Hospital of Jilin UniversityChangchun 130033China Department of Radiotherapy China-Japan Union Hospital of Jilin UniversityChangchun 130033China

OBJECTIVE:To evaluate the effect of acupuncture therapies administered in combination with swallowing training on the quality of life of laryngeal cancer patients with dysphagia after ***:Seventy-one postoperative patients with laryngeal cancer participated in this *** patients diagnosed with swallowing dysfunction by video fluoroscopic swallowing examination(VFSE)were randomly divided into experimental group(n=36)and control group(n=35).Patients in both groups were provided swallowing training and rehabilitation *** in the experimental group were additionally provided with acupuncture *** patients were evaluated using VFSE and MD Anderson dysphagia inventory(MDADI)and Quality of Life Questionnaire-core 30(QLQ-c30)score immediately after surgery and three months ***:The effective rate of 97.1%(n=35)and the complete remission rate of 36.1%(n=13)in the experimental group were higher than those in the control group of 60%(n=21)and 14.3%(n=5)(Pswallowing training can improve the swallowing function and the quality of life of laryngeal cancer patients with dysphagia after surgery.

关键词： laryngeal neoplasms deglutition disorders acupuncture swallowing training quality of life

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Effect of Individualized Nutrition Intervention Care Combined with swallowing training on Postoperative Nutritional Status in Patients with Laryngeal Cancer

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Open Journal of Nursing 2023年第1期13卷 45-52页

作者： Simin Wang Yuexuan Chen Xianling Zeng Yongqin Lin Head & Neck Surgery Sun Yat-sen University Cancer Center Guangzhou China

Introduction: Laryngeal carcinoma accounts for 13.9% of head and neck tumors, and squamous cell carcinoma is the main pathological type. At present, the treatment of laryngeal cancer is mainly surgical treatment or postoperative radiotherapy. The surgery is delicate, complex, time-consuming and traumatic. Postoperative patients are prone to dysphagia, leading to an increase in the incidence of malnutrition. Malnutrition can cause a series of negative effects, including weight loss, increased incidence of infection, reduced tolerance of anti-tumor treatment, and extended length of hospital stay. Therefore, how to effectively improve the nutritional status of laryngeal cancer patients through nursing intervention has become an important topic of nursing research. Objective: Investigate the effect of individualized nutrition intervention care combined with swallowing training on postoperative nutritional status in patients with laryngeal cancer. Methods: A total of 120 consecutive patients who underwent laryngeal surgery at our hospital for the first time between May 2018 and May 2021 were selected for the study and equally divided into the control group and the study group by the random number table method, with 60 patients in each group. Patients in the control group were given swallowing function training and health counseling, and the study group adopted individualized nutrition intervention care based on the control group. The nutritional status, swallowing function, and quality of life (QOL) of the patients were assessed using the Patient-generated Subjective Global Assessment (PG-SGA), MD Anderson Dysphagia Inventory (MDADI), and Quality of Life Questionnaire-Core30 (QLQ-C30) before the intervention and three months after the intervention. Results: Before the intervention, the scores of MDADI, PG-SGA, and QLQ-C30 were not significantly different between the two groups (P > 0.05), and three months after the intervention, the scores of MDADI and QLQ-C30 increased

关键词： Laryngeal Cancer swallowing training Nutritional Status Individualized Nutrition Intervention Care

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The Efficacy of Electromyographic Biofeedback Combined with swallowing training on Post- Stroke Dysphagia

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Journal of Clinical and Nursing Research 2024年第5期8卷 309-314页

作者： Le Wang Yu Zhang Xiaohui Wang Zhi Li Sha Chang Department of Neurology Shaanxi Provincial People’s HospitalXi’an 710068ShaanxiChina Department of Gynecology Shaanxi Provincial People’s HospitalXi’an 710068ShaanxiChina

Objective:This paper focuses on the research and discussion of the efficacy of electromyographic biofeedback combined with swallowing training on post-stroke ***:This study randomly sampled and analyzed 68 patients with post-stroke dysphagia from January 2023 to December 2023,34 cases of swallowing training intervention were grouped as the control group,and 34 cases of electromyography biofeedback combined with swallowing training intervention were grouped as the study group,and the clinical therapeutic effects of the two groups of patients after receiving the two different modes of intervention were ***:The swallowing function of patients in both groups improved,and the VFSS score of patients in the seminar group was significantly higher than that of the control group,indicating that the clinical efficacy of the seminar group was more *** nasal feeding tube extraction rate,extraction time,and quality of life scores of the seminar group were better than those of the control group(Pswallowing training mode can significantly improve their swallowing *** effective intervention can not only shorten the time for patients to remove the nasal feeding tube but also help to improve the quality of life of patients,which is worth using.

关键词： Electromyographic biofeedback Stroke swallowing training

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