头针联合辣椒素治疗脑卒中后慢性期吞咽障碍的临床疗效分析

Clinical efficacy analysis of scalp acupuncture combined with capsaicin in the treatment of chronic dysphagia after stroke

目的探讨头针(SA)联合辣椒素治疗脑卒中后慢性期吞咽障碍患者的临床疗效。方法选取广西医科大学第二附属医院康复医学科自2022年1月至2023年4月收治的90例脑卒中后慢性吞咽障碍患者,采用随机数字表法分为辣椒素组、SA组及SA联合辣椒素组,每组30例,疗程均为1个月。治疗前后分别使用洼田饮水试验(WST)、标准化床边吞咽功能检查(SSA)、进食评估工具-10(EAT-10)、电视X线透视吞咽功能检查(VFSS)进行评估,判断干预后患者吞咽功能改善的程度。结果治疗后,3组患者的WST分级均较治疗前下降,且3组间比较,差异均具有统计学差异(P<0.05);3组患者的SSA、EAT-10和VFSS评分均较治疗前有不同程度的改善,其中SA联合辣椒素组的各项指标改善均优于辣椒素组、SA组,差异均有统计学意义(P<0.05)。结论与单独使用辣椒素或SA比较,使用SA联合辣椒素对脑卒中后慢性期吞咽障碍患者的吞咽功能的改善更明显。

Objective To investigate the clinical efficacy of scalp acupuncture(SA)combined capsaicin in patients with chronic dysphagia after stroke,and to explore a non-invasive,safe and effective method for the treatment of such patients.Methods Ninety patients diagnosed with stroke and suffering from chronic dysphagia from January 2022 to April 2023 were collected and divided into 3 groups by random number table method:capsaicin group,SA group and SA combined with capsaicin group,with 30 cases in each group.The course of treatment was 1 month.Before and after treatment,the patients were evaluated by Watian drinking water test(WST),the standard swallowing function assessment scale(SSA),eating assessment tool-10(EAT-10)and videofluoroscopic swallowing study(VFSS),respectively,to determine the degree scores of 3 groups swallowing function after intervention.Results The WST grading of all three groups significantly were decreased compared to before treatment,the difference among the three groups after treatment was statistically significant(P<0.05).The SSA,EAT-10,and VFSS scores of 3 groups after treatment all showed varying degrees of improvement compared to before treatment,and the improvement of various indexes in the SA combined with capsaicin group was better than that in the capsaicin group and SA group,and the differences were statistically significant(P<0.05).Conclusion Compared with using capsaicin or SA alone,the combination of SA and capsaicin has a more significant improvement in swallowing function in patients with chronic dysphagia after stroke.