[Clinical effect of Liyan Tongqiao acupuncture in treatment of post-stroke dysphagia: an analysis based on diffusion tensor imaging].

Autor:	Wu WB; Department of Acupuncture and Moxibustion, Longyan First Hospital, Longyan 364000, Fujian Province, China., Fan DF; Department of Neurology, 3Department of Radiology, Longyan First Hospital, Longyan 364000, Fujian Province, China., Que BF; Department of Acupuncture and Moxibustion, Longyan First Hospital, Longyan 364000, Fujian Province, China., Lian QQ; Department of Acupuncture and Moxibustion, Longyan First Hospital, Longyan 364000, Fujian Province, China., Zheng C; Department of Neurology, 3Department of Radiology, Longyan First Hospital, Longyan 364000, Fujian Province, China., Tang LL; Department of Radiology, Longyan First Hospital, Longyan 364000, Fujian Province, China., Qiu R; Department of Acupuncture and Moxibustion, Longyan First Hospital, Longyan 364000, Fujian Province, China., Chen YG; Department of Neurology, 3Department of Radiology, Longyan First Hospital, Longyan 364000, Fujian Province, China.
Jazyk:	čínština
Zdroj:	Zhen ci yan jiu = Acupuncture research [Zhen Ci Yan Jiu] 2020 Dec 25; Vol. 45 (12), pp. 985-9.
DOI:	10.13702/j.1000-0607.200085
Abstrakt:	Objective: To investigate the clinical change of post-stroke dysphagia after the intervention of Liyan Tongqiao （relieving sore-throat and dredging orifices）acupuncture using cranial diffusion tensor imaging (DTI). Methods: A total of 60 patients with post-stroke dysphagia were enrolled and randomly divided into Liyan Tongqiao acupuncture group and neurology treatment group, with 30 patients in each group. The patients in the neurology treatment group were given routine neurology treatment and swallowing rehabilitation training, and those in the Liyan Tongqiao acupuncture group received acupuncture at Sishencong (EX-HN1), Baihui (GV20), bilateral Tai-yang (EX-HN5), and bilateral Fengchi (GB20) and tongue triple acupuncture, with an electroacupuncture apparatus for EX-HN1, bilateral GB20, and tongue triple acupuncture, for a needle retaining time of 30 minutes each time, once a day and 5 times a week, in addition to the treatment in the neurology treatment group. Each course of treatment was 3 weeks, and both groups were treated for 2 courses. Swallowing function assessment and cranial DTI were performed after treatment. Results: After 6 weeks of treatment, both groups had a marked improvement in swallowing function, a significantly greater change in video fluoroscopic swallowing study (VFSS) score and a higher mean FA value ( P <0.05). Compared with the neurology treatment group, the Liyan Tongqiao acupuncture group had a marked improvement in swallowing function, a significantly greater change in VFSS score in the pharyngeal phase and a higher mean FA value ( P <0.05). Conclusion: Liyan Tongqiao acupuncture can improve dysphagia and swallowing function in the pharyngeal phase in VFSS, possibly by promoting the remodeling of cerebral cortex and increasing the FA value of infarct zone through the stimulation of related acupoint signals.
Databáze:	MEDLINE
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