Application of quantitative analysis of video fluoroscopic swallowing study in the observation of therapeutic effect of acupuncture combined with rehabilitation training to dysphagia after stroke

WEN Ze-ying, ZHANG Hai-yu

Journal of China Clinic Medical Imaging ›› 2019, Vol. 30 ›› Issue (8) : 533-536.

Journal of China Clinic Medical Imaging ›› 2019, Vol. 30 ›› Issue (8) : 533-536. DOI: 10.12117/jccmi.2019.08.001

Application of quantitative analysis of video fluoroscopic swallowing study in the observation of therapeutic effect of acupuncture combined with rehabilitation training to dysphagia after stroke

  • WEN Ze-ying, ZHANG Hai-yu
Author information +
History +

Abstract

Objective: To investigate the application of video fluoroscopic swallowing study(VFSS) in the observation of the therapeutic effect of acupuncture combined with rehabilitation training to dysphagia after stroke. Methods: A total of 55 patients with swallowing dysfunction after stroke were randomly divided into acupuncture group and control group. The acupuncture group(n=25) was treated with acupuncture combined with rehabilitation training, and the latter(n=30) was treated with rehabilitation training only. All patients underwent VFSS before and after treatment, and the quantitative measurement was performed with two parameters: swallowing time and the opening amplitude of pharyngeal muscle. The two parameters were compared before and after treatment between two groups. Results: In terms of swallowing time: after treatment, the swallowing time of both groups was shorter than that before treatment, and the difference was statistically significant(P<0.05), especially for the acupuncture group. In terms of opening amplitude of the pharyngeal muscle: the opening amplitude of the pharyngeal muscles of both groups was increased compared with that before treatment, especially for the acupuncture group(P<0.05). Conclusion: Quantitative analysis of VFSS can be used to evaluate the efficacy of acupuncture combined with rehabilitation training to dysphagia after stroke.

Key words

Cerebrocascular accident / Deglutition disorders / Angiography, digital subtraction

Cite this article

Download Citations
WEN Ze-ying, ZHANG Hai-yu. Application of quantitative analysis of video fluoroscopic swallowing study in the observation of therapeutic effect of acupuncture combined with rehabilitation training to dysphagia after stroke[J]. Journal of China Clinic Medical Imaging. 2019, 30(8): 533-536 https://doi.org/10.12117/jccmi.2019.08.001

References

[1]Singh S, Hamdy S. Dysphagia in troke patients[J]. Postgrad Med J, 2006, 82(968): 383-391. [2]卒中患者吞咽障碍和营养管理中国专家组. 卒中患者吞咽障碍和营养管理的中国专家共识(2013版)[J]. 中国卒中杂志,2013,8(12):973-983. [3]彭俊峰,李彦杰,李鸿章,等. 针刺和电刺激联合康复训练治疗脑卒中后吞咽障碍患者的疗效观察[J]. 中华物理医学与康复杂志,2014,36(4):310-311. [4]周红霞,王彦华,程先宽. 针刺阿呛组穴联合吞咽功能训练治疗脑卒中后吞咽障碍随机平行对照研究[J]. 实用中医内科杂志,2016,30(11):91-93. [5]Tippett DC. Clinical challenges in the evaluation and treatment of individuals with poststroke dysphagia[J]. Stroke Rehabil, 2011, 18(2): 120-133. [6]中华神经科学会,中华神经外科学会. 各类脑血管疾病诊断要点[J]. 中华神经科杂志,1996,29(6):379-380. [7]史玉泉. 实用神经病学[M]. 2版. 上海:上海科学技术出版社,1994:621-622. [8]赖日英,黄臻. 脑卒中后吞咽障碍的临床研究与进展[J]. 世界临床医学,2016,10(13):102-105. [9]李爱东,刘洪涛,黄宗青,等. 脑卒中急性期吞咽障碍环咽肌功能的临床及影像学评定[J]. 中国康复,2011,26(5):336-338. [10]王海琴. 阿呛穴强刺激法联合摄食训练对中风后吞咽困难的疗效观察[J]. 针灸临床杂志,2017,33(9):44-47. [11]韩旭,徐树岭,马培锋,等. 强刺激速刺阿呛穴治疗中风后吞咽困难疗效观察[J]. 针灸临床杂志,2016,32(8):64-66. [12]袁梦郎,杨拯,呙金海,等. 针刺结合康复功能训练治疗脑卒中后吞咽障碍临床疗效的Meta分析[J]. 中国康复医学杂志,2011,26(5):467-470. [13]韦艳燕. 吞咽训练及穴位按摩治疗脑卒中吞咽障碍的研究进展[J]. 护理学杂志,2016,31(5):106-110. [14]Stokely SL, Molfenter SM, Steele CM. Effects of barium concentration on oropharyngeal swallow timing measures[J]. Dysphagia, 2014, 29(1): 78-82. [15]窦祖林,兰月,于帆,等. 吞咽造影数字化分析在脑干卒中后吞咽障碍患者疗效评估中的应用[J]. 中国康复医学杂志,2013,28(9):799-805. [16]Lan Y, Xu G, Dou Z, et al. The correlation between manometric and video fluoroscopic measurements of the swallowing function in brainstem stroke patients with dysphagia[J]. J Clin Gastroenterol, 2015, 49(1): 24-30.

Accesses

Citation

Detail

Sections
Recommended

/