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Journal of Acupuncture and Tuina Science 2020年第5期18卷 367-373页

作者： Huang Yi-qing Ma Wen Shen Wei-dong Shuguang Hospital Shanghai University of Traditional Chinese MedicineShanghai 201203China Shanghai Yangpu Hospital of Traditional Chinese Medicine Shanghai 200090China

Objective:To observe the clinical efficacy of acupuncture plus rehabilitation training in treating post-stroke deglutition disorders of qi-deficiency blood stasis ***:Sixty-six patients with post-stroke deglutition disorders of qi-deficiency blood stasis patter were divided into an observation group and a rehabilitation group using the random number table *** two groups both received conventional medications and supportive treatment for *** addition,the observation group received acupuncture plus rehabilitation training while the rehabilitation group only received the same rehabilitation *** interventions were conducted 3 times a week for a total of 4 weeks in both *** were evaluated using Kubota water swallowing test(KWST),Fujishima Ichiro food intake level scale(FILS)and symptoms score of traditional Chinese medicine(TCM)before and after treatment,and at the 1-month *** therapeutic efficacy was assessed at the 1-month ***:The KWST grading and FILS result after treatment and at the follow-up were significantly different from those before treatment in both groups(all P0.05).There were significant differences in the KWST grading and FILS result between the two groups after treatment and at the follow-up(all P0.05).The TCM symptoms grading efficacy in the observation group was significantly different from that in the rehabilitation group after treatment and at the follow-up(both P<0.05).Conclusion:B

关键词： Acupuncture Therapy Stroke Rehabilitation Qi-deficiency Blood Stasis Poststroke Syndrome Pseudobulbar Palsy deglutition disorders

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

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Journal of Acupuncture and Tuina Science 2018年第6期16卷 375-381页

作者： GUO Yu-huai Sun Zhong-ren Cai Shuo Jin Ze Wei Qing-shuang Jiang Fan Wang Ming-zhen Yin Hong-na Heilongjiang University of Chinese Medicine Harbin 150040China Guangzhou University of Chinese Medicine Guangdong 510006China The Second Hospital Amliated toHeilongjiang university of Chinese Medicine Harbin 150001China

Objective:To observe the clinical efficacy of fire-needle therapy in treating deglutition disorders due to pseudobulbar palsy in the remission stage of ***: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:*** two groups received same basic intervention;in addition,the fire-needle group received fire-needle treatment,while the rehabilitation group received rehabilitation *** 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 *** complications and adverse events occurred during the trial were *** data were statistically ***:At the third week,the DSRS,MMASA and KTST scores changed significantly compared with the baseline in both groups (Pdeglutition disorders in this stage.

关键词： Acupuncture Therapy Fire-needle Therapy Scalp Stimulation Areas Stroke Complications Pseudobulbar Palsy deglutition disorders Randomized Controlled Trials

Effects of nape acupuncture combined with swallowing rehabilitation on dysphagia in pseudobulbar palsy

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Journal of Traditional Chinese Medicine 2018年第1期38卷 117-124页

作者： Liu Xiaoping Chen Feiyu Chu Jiamei Bao Yehua Department of Acupuncture-Moxibustion and Rehabilitation Hangzhou Hospital of Traditional Chinese Medicine

OBJECTIVE: To evaluate the therapeutic effects of nape acupuncture combined with rehabilitative swallowing training for dysphagia caused by pseudobulbar palsy, and to compare it with rehabilitative swallowing training alone, and to observe the improvement in quality of life after the ***: One hundred patients were randomly divided into two groups: the rehabilitative swallowing training group(control group, n = 50) and the nape acupuncture combined with rehabilitative swallowing training group(experimental group,n = 50). Each group had 8 weeks' therapy, 5 times a week. Patients in the control group received rehabilitative swallowing training, while those in the experimental group received nape acupuncture therapy based on swallowing rehabilitation. The out-comes were assessed by the repetitive saliva-swallowing test(RSST), water swallow test(WST), standardized swallowing assessment(SSA), and a swallow quality-of-life questionnaire(SWAL-QOL). Correlations of onset age, onset frequency and lesion location with the efficacy of the acupuncture treatment were also ***: The scores for RSST, WST, and SSA in both groups were lower than before the therapy(P 0.05), but was related to onset age(P < 0.05) and onset frequency(P < 0.01).CONCLUSION: Nape acupuncture combined with rehabilitative swallowing training has an effect on dysphagia caused by pseudobulbar palsy and improves quality of life.

关键词： deglutition disorders Pseudobulbar palsy Quality of life Age of onset Nape acupunc- ture Rehabilitative swallowing training

Dysphagia lusorium in elderly:A case report

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World Journal of Gastroenterology 2004年第16期10卷 2459-2460页

作者： Bulent Kantarceken Ertan Bulbuloglu Murvet Yuksel Ali Cetinkaya Division of Gastroenterology Medical FacultySutcu Imam UniversityKahramanmarasTurkey Department of General Surgery Medical FacultySutcu Imam UniversityKahramanmarasTurkey Department of Radiodiagnostic Medical FacultySutcu Imam UniversityKahramanmarasTurkey Department of Internal Medicine Medical FacultySutcu Imam-UniversityKahramanmarasTurkey

AIM: Late unset of dysphagia due to vascular abnormalities is a rare condition. We aimed to present a case of right subclavian artery abnormalities caused dysphagia in the ***: A 68-year-old female was admitted with dysphagia seven months ago. Upper endoscopic procedures and routine examinations could not demonstrate any etiology. Multislice computed thorax tomography was performed for probable extra- esophagial ***: Multislice computed thorax tomography showed right subclavian artery abnormality and esophagial compression with this aberrant ***: Causes of dysphagia in the elderly are commonly malignancies, strictures and/or motility disorders. If routine examinations and endoscopic procedures fail to show any etiology, rare vascular abnormalities can be considered in such patients. Multislice computed tomography is a usefull choice in such conditions.

关键词： Aged deglutition disorders Esophageal Diseases Female Humans Subclavian Artery Tomography, X-Ray Computed

Postmyotomy dysphagia after laparoscopic surgery for achalasia

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World Journal of Gastroenterology 2003年第5期9卷 1129-1131页

作者： Yutaka Shiino Ziad T.Awad Gleb R. Haynatzki Richard E. Davis Ronald A. Hinder Charles J. Filipi Department of Surgery Creighton University601 N.30~(th)StreetOmahaNE 68131USA Department of Medicine Creighton University601 N.30~(th) StreetOmahaNE 68131USA Department of Surgery Mayo Clinic Jacksonville4500 San Pablo RoadJacksonvilleFL 32224USA

AIM: To determine predictive factors for postoperative dysphagia after laparoscopic myotomy for ***: Logistic regression was used to investigate the possible association between the response (postoperative dysphagia, with two levels: none/mild and moderate/severe)and several plausible predictive ***: Eight patients experienced severe or moderate postoperative dysphagia. The logistic regression revealed that only the severity of preoperative dysphagia (with four levels; mild, moderate, severe, and liquid) was a marginally significant (P=0.0575) predictive factor for postoperative ***: The severity of postoperative dysphagia is strongly associated with preoperative dysphagia. Preoperative symptomatology can significantly impact patient outcome.

关键词： deglutition disorders Digestive System Surgical Procedures Esophageal Achalasia Female Humans Laparoscopy Logistic Models Male Postoperative Complications Retrospective Studies Risk Factors Treatment Outcome

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)(P<0.01).The scores of VFSE,MDADI and QLQ-c 30 in the experimental group and the control group at three months after therapies were significantly improved compared with those before therapies(P<0.05).The scores of VFSE,MDADI and QLQ-c30 in the experimental group at three months after therapies were significantly improved compared with the control *** improvement in the intervention group was significantly better than that in the control *** were no adverse reactions in two ***:Acupuncture therapies combined with swallowing 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

Can patients determine the level of their dysphagia?

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World Journal of Gastroenterology 2017年第6期23卷 1038-1043页

作者： Hafiz Hamad Ashraf Joanne Palmer Harry Richard Dalton Carolyn Waters Thomas Luff Madeline Strugnell Iain Alexander Murray Departments of Gastroenterology Royal Cornwall Hospital NHS Trust Research and Development Royal Cornwall Hospital NHS Trust Clinical Imaging Royal Cornwall Hospital NHS Trust

To determine if patients can localise dysphagia level determined endoscopically or radiologically and association of gender, age, level and *** review of consecutive patients presenting to dysphagia hotline between March 2004 and March 2015 was carried out. Demographics, clinical history and investigation findings were recorded including patient perception of obstruction level (pharyngeal, mid sternal or low sternal) was documented and the actual level of obstruction found on endoscopic or radiological examination (if any) was noted. All patients with evidence of obstruction including oesophageal carcinoma, peptic stricture, Schatzki ring, oesophageal pouch and cricopharyngeal hypertrophy were included in the study who had given a perceived level of dysphagia. The upper GI endoscopy reports (barium study where upper GI endoscopy was not performed) were reviewed to confirm the distance of obstructing lesion from central incisors. A previously described anatomical classification of oesophagus was used to define the level of obstruction to be upper, middle or lower oesophagus and this was compared with patient perceived *** thousand six hundred and sixty-eight patients were included, 42.0% of who were female, mean age 70.7 ± 12.8 years old. Of those with obstructing lesions, 726 gave a perceived level of dysphagia: 37.2% had oesophageal cancer, 36.0% peptic stricture, 13.1% pharyngeal pouches, 10.3% Schatzki rings and 3.3% achalasia. Twenty-seven point five percent of patients reported pharyngeal level (upper) dysphagia, 36.9% mid sternal dysphagia and 25.9% lower sternal dysphagia (9.5% reported multiple levels). The level of obstructing lesion seen on diagnostic testing was upper (17.2%), mid (19.4%) or lower (62.9%) or combined (0.3%). When patients localised their level of dysphagia to a single level, the kappa statistic was 0.245 (P < 0.001), indicating fair agreement. 48% of patients reporting a single level of dysphagia

关键词： deglutition disorders Oesophageal stenosis Oesophageal neoplasm Gastroscopy Fluoroscopy Patient perception Pharyngeal pouch

Dysphagia,reflux and related sequelae due to altered physiology in scleroderma

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World Journal of Gastroenterology 2021年第31期27卷 5201-5218页

作者： Anusri Kadakuntla Ankit Juneja Samantha Sattler Anusha Agarwal Drishti Panse Nardin Zakhary Anusha Pasumarthi Lee Shapiro Micheal Tadros Albany Medical College AlbanyNY 12208United States Department of Dentistry Ministry of HealthAlexandria 21500Egypt Division of Rheumatology Albany Medical CenterAlbanyNY 12208United States Division of Gastroenterology Albany Medical CenterAlbanyNY 12208United States

Systemic sclerosis is a connective tissue disease that presents with significant gastrointestinal involvement,commonly in the *** is a common clinical manifestation of systemic sclerosis and is strongly related to esophageal ***,there are multiple other contributing factors in each step in the physiology of swallowing that may contribute to development of severe *** oral phase of swallowing may be disrupted by poor mastication due to microstomia and poor dentition,as well as by *** the pharyngeal phase of swallowing,pharyngeal muscle weakness due to concurrent myositis or cricopharyngeal muscle tightening due to acid reflux can cause *** esophageal phase of swallowing is most commonly disturbed by decreased peristalsis and esophageal ***,it can also be affected by obstruction from chronic reflux changes,pill-induced esophagitis,or Candida *** contributing factors to dysphagia include difficulties in food preparation and *** the anatomy and physiology of swallowing and evaluating systemic sclerosis patients presenting with dysphagia for disturbances in each step can allow for development of better treatment plans to improve dysphagia and overall quality of life.

关键词： Systemic sclerosis Esophageal motility disorders deglutition deglutition disorders Gastroesophageal reflux Esophagitis

Peroral endoscopic myotomy vs laparoscopic myotomy and partial fundoplication for esophageal achalasia: A single-center randomized controlled trial

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World Journal of Gastroenterology 2022年第33期28卷 4875-4889页

作者： Eduardo Turiani Hourneaux de Moura Jose Jukemura Igor Braga Ribeiro Galileu Ferreira Ayala Farias Aureo Augusto de Almeida Delgado Lara Meireles Azeredo Coutinho Diogo Turiani Hourneaux de Moura Rubens Antonio Aissar Sallum Ary Nasi Sergio A Sanchez-Luna Paulo Sakai Eduardo Guimaraes Hourneaux de Moura Departamento de Gastroenterologia Faculdade de MedicinaUniversidade de Sao PauloServico de Endoscopia Gastrointestinal do Hospital das Clinicas HCFMUSPSao Paulo 05403-010Brazil Division of Esophageal Surgery Hospital das ClinicasUniversity of Sao Paulo School of MedicineSao Paulo 05403-010Brazil Departamento de Gastroenterologia Faculdade de MedicinaUniversidade de Sao PauloHospital das ClinicasUniversity of Sao Paulo School of MedicineSao Paulo 05403-010Brazil Department of Internal Medicine The University of Alabama at Birmingham Heersink School of MedicineBasil I.Hirschowitz Endoscopic Center of ExcellenceDivision of Gastroenterology and HepatologyBirminghamAL 35233United States

BACKGROUND Achalasia is a rare benign esophageal motor disorder characterized by incomplete relaxation of the lower esophageal sphincter(LES). The treatment of achalasia is not curative, but rather is aimed at reducing LES pressure. In patients who have failed noninvasive therapy, surgery should be considered. Myotomy with partial fundoplication has been considered the first-line treatment for non-advanced achalasia. Recently, peroral endoscopic myotomy(POEM), a technique that employs the principles of submucosal endoscopy to perform the equivalent of a surgical myotomy,has emerged as a promising minimally invasive technique for the management of this *** To compare POEM and laparoscopic myotomy and partial fundoplication(LM-PF) regarding their efficacy and outcomes for the treatment of *** Forty treatment-naive adult patients who had been diagnosed with achalasia based on clinical and manometric criteria(dysphagia score ≥ II and Eckardt score > 3) were randomized to undergo either LM-PF or POEM. The outcome measures were anesthesia time, procedure time, symptom improvement, reflux esophagitis(as determined with the Gastroesophageal Reflux Disease Questionnaire), barium column height at 1 and 5 min(on a barium esophagogram), pressure at the LES, the occurrence of adverse events(AEs), length of stay(LOS), and quality of life(QoL).RESULTS There were no statistically significant differences between the LM-PF and POEM groups regarding symptom improvement at 1, 6, and 12 mo of follow-up(P = 0.192, P = 0.242, and P = 0.242, respectively). However, the rates of reflux esophagitis at 1, 6, and 12 mo of follow-up were significantly higher in the POEM group(P = 0.014, P < 0.001, and P = 0.002, respectively). There were also no statistical differences regarding the manometry values, the occurrence of AEs, or LOS. Anesthesia time and procedure time were significantly shorter in the POEM group than in the LM-PF group(185.00 ± 56.89 and 95.70 ± 30.47 min v

关键词： Esophageal achalasia Gastroesophageal reflux deglutition disorders Heller myotomy Fundoplication Randomized controlled trial

Clinical Application of the Jiuwei Point

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Journal of Traditional Chinese Medicine 2003年第1期23卷 45-46页

作者：滕殿君王薇 Civil Air Defense Hospital Harbin 150010Heilongjiang Province

Jiuwei (CV 15) is a point mainly used to treat epigastric pain, regurgitation, dysphagia, epilepsy, palpitation, vexation, cough and dyspnea.

关键词： Acupuncture Points Acupuncture Therapy Adult deglutition disorders Female Hiccup Humans Male Middle Aged