Clinical Study on Acupuncture Treatment of Dysphagia After Stroke

LI Xiaofei; ZHAO Dongdong; QIN Liang

doi:10.16295/j.cnki.0257-358x.2025.04.012

Abstract：Objective:To explore the application effect of acupuncture on patients with dysphagia after stroke.Methods:A total of 90 patients with dysphagia after stroke were selected as the study subjects and divided into the control group,observation group 1 and observation group 2 by using random number table method,with 30 cases in each group.The control group received conventional treatment.On this basis,observation group 1 was treated with acupuncture without needle retention,observation group 2 was treated with needle retention for 30 minutes after acupuncture.The therapeutic effect,intestinal barrier function[D-lactic acid(D-LA),lipopolysaccharide(LPS),diamine oxidase(DAO)],nutritional status[hemoglobin(Hb)and serum albumin(ALB),total protein(TP)],swallowing function[deglutigraphy examination(VFSS),standardized swallowing assessment scale(SSA)],gastrointestinal function and life quality[Barthel Index(BI)],sleep quality[Pittsburgh Sleep Quality Scale(PSQI)]and adverse effects of the three groups were compared.Results:The total effective rate of the observation group 1 and group 2 was 83.33％and 93.33％,respectively,which was higher than that of the control group,60.00％(all P＜0.05).After treatment,the SSA and gastrointestinal function scores of the three groups were lower than those before treatment,and observation group 2＜observation group 1＜the control group(all P＜0.05),VFSS scores were increased,and observation group 2＞observation group 1＞the control group(all P＜0.05).After treatment,the levels of LPS,DAO,and D-LA were decreased in all three groups,and observation group 2＜observation group 1＜the control group(all P＜0.05),and the levels of Hb,ALB and TP were increased,and observa-tion group 2＞observation group 1＞the control group(all P＜0.05).After treatment,BI scores in all three groups were increased,and the observation group 2 and group 1 were higher than the control group(all P＜0.05),PSQI scores in all three groups were decreased,and the observation group 2 and group 1 were lower than the control group(all P＜0.05).Conclusion:The application of acupuncture in the clinical treatment of dysphagia after stroke can enhance the therapeutic effect,improve the sleep and quality of life of patients,and the degree of improvement of swallowing function,nutritional status and intestinal barrier function of patients with needle retention after acupuncture is better than that of the no-needle retention program.