Synergistic Effect of Heat-Sensitive Moxibustion at Lianquan Acupoint Combined with Chin-Targeted Anti-resistance Training on Swallowing Function Rehabilitation in Patients with Post-stroke Dysphagia
CHEN Herong
LIU Jiandong
LIU Yi
CHEN Qingyun
Abstract：Objective To explore the synergistic effect of heat-sensitive moxibustion at Lianquan acupoint combined with chin-targeted anti-resistance(CTAR)training on swallowing function rehabilitation in patients with post-stroke dysphagia(PSD).Methods A total of 100 cases of patients with PSD treated in Zhumadian Hospital of Traditional Chinese Medicine from June 2023 to June 2025 were selected,and divided into three groups according to random number table method.All patients received conventional treatment and rehabilitation training.On this basis,33 patients in control group A received CTAR training,33 patients in control group B received heat-sensitive moxibustion at Lianquan acupoint,and 34 patients in combined group were given CTAR training plus heat-sensitive moxibustion at Lianquan acupoint.After 4 weeks of intervention,the clinical efficacy was observed,as well as the hyolaryngeal complex mobility,mean amplitude and duration of submental and infrahyoid muscles,swallowing function indexes[water swallowing test(WST),standardized swallowing assessment(SSA),Fujishima Ichiro swallowing scale(FILS)],nutritional status indicators[albumin(ALB),transferrin(TRF)and prealbumin(PA)]before intervention and after 4 weeks of intervention,and the incidence of complications were compared among the three groups.Results The total effective rate of combined group was 94.12％,which was higher than 69.70％of control group A and 72.73％of control group B(P＜0.05).After 4 weeks of intervention,the hyolaryngeal complex mobility in the combined group was significantly higher than that in the two control groups(P＜0.05).After 4 weeks of intervention,the mean amplitude of submental and infrahyoid muscles was higher,while their movement duration was shorter in the combined group(P＜0.05).After 4 weeks of intervention,the WST and SSA scores of the combined group were lower than that of control group A and control group B,and the FILS score was higher than that in control group A and control group B(P＜0.05).After 4 weeks of intervention,the serum levels of ALB,PA and TRF in combination group were higher than those in control group A and control group B(P＜0.05).After 6 months of follow-up after intervention,the incidence of complications in the combination group was 5.88％,showing no statistically significant difference compared with 24.24％in group A and 18.18％in group B(P＞0.05).Conclusion The CTAR training combined with heat-sensitive moxibustion at Lianquan acupoint can restore the swallowing function and improve the nutritional status of PSD patients with definite therapeutic effect and good safety.
Keywords：strokedysphagiachin-targeted anti-resistance trainingheat-sensitive moxibustion at Lianquan acupointswallowing function
Publication Date：2026-07-28
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：6( 2621-2626 )