Objective： To observe the clinical effect of mind-refreshing and orifice-opening needling method plus swallowing disorder therapeutic apparatus for deglutition disorder of stroke patients in convalescence stage. Meth...Objective： To observe the clinical effect of mind-refreshing and orifice-opening needling method plus swallowing disorder therapeutic apparatus for deglutition disorder of stroke patients in convalescence stage. Methods： A total of 136 patients conforming to the inclusion criteria were randomized into three groups by the random number table, including group A of 46 cases, group B of 44 cases and group C of 46 cases. Patients in group A received swallowing disorder therapeutic apparatus treatment, patients in group B received mind-refreshing and orifice-opening needling method treatment, and patients in group C received mind-refreshing and orifice-opening needling method plus swallowing disorder therapeutic apparatus treatment. The treatment was given once a day for 10 d as a course, the whole treatment lasted for 4 courses. Therapeutic evaluation items including water-swallowing test （WST）, standardized swallowing assessment （SSA） and modified Barthel index （MBI） were measured before treatment, after treatment and at follow-up visit （2 months after treatment）. Results： After treatment, scores of WST and MBI in all three groups increased significantly （all P〈0.05）, while the SSA score dropped significantly （all P〈0.05）. After treatment and during follow-up visit period, score of WST in group C was significantly higher than that in group A and group B （both P〈0.05）, while the difference between group A and group B showed no statistical significance （P〉0.05）; the SSA score in group C was substantially lower than that in group A and group B （all P〈0.05）, the difference between group A and group B showed no statistical significance （P〉0.05）; the MBI scores in group B and group C were substantially higher than that in group A （all P〈0.05）, the difference between group B and group C showed no statistical significance （P〉0.05）. After treatment and during follow-up visit period, the differences in overall therapeutic effect between group A and group B showed no statistical significance （P〉0.05）, while the overall therapeutic effect in group C was substantially better than that in group A and group B （all P〈0.05）. Conclusion： Both mind-refreshing and orifice-opening needling method and swallowing disorder therapeutic apparatus can alleviate symptoms of deglutition disorder of stroke patients respectively, and the combination of two methods can improve the therapeutic effect.展开更多
Objective:To observe the effect of electroacupuncture combined with low-frequency pulsed electromagnetic field on bone metabolism in patients with spinal cord injury(SCI).Methods:The 60 SCI patients who met the inclus...Objective:To observe the effect of electroacupuncture combined with low-frequency pulsed electromagnetic field on bone metabolism in patients with spinal cord injury(SCI).Methods:The 60 SCI patients who met the inclusion criteria were randomly divided into 2 groups by means of a random number table.In the control group,30 patients were treated with osteoporosis treatment apparatus.In the observation group,30 patients were treated with osteoporosis treatment apparatus and electroacupuncture at the foot-shaoyangacupoints [Yánglíngquán(阳陵泉GB 34) and Xuánzhōng(悬钟GB 39) of both sides].The treatment was applied once a day,5 days a week,for 8 weeks.Before and after treatment,the changes of indexes in the two groups,including the bone mineral density(BMD),bone gla-containing protein(BGP),serum alkaline phosphatase(ALP),procollagen type I C-peptide(PICP),and 25-hydroxy-vitamin D [25(OH)D],were observed for comparison.Results:After treatment,in the two groups,the BMD and 25(OH)D indexes of the femoral neck,greater trochanter,and Ward’s triangle region were not significantly changed in comparing with those before treatment(P>0.05),while the BGP,ALP,and PICP indexes were significantly higher than those before treatment(P<0.05).After treatment,in the observation group,the BGP and ALP indexes were significantly increased in comparing with those of the control group,and the difference was statistically significant(P<0.05),whilst the BMD,PICP,and 25(OH)D indexes of the femoral neck,greater trochanter,and wards triangle region,were not significantly different in comparing with the control group(P>0.05).Conclusion:The osteoporosis treatment apparatus can improve bone metabolism in SCI patients,and the curative effect can be enhanced when combined with electroacupuncture at foot-shaoyangacupoints.展开更多
文摘Objective： To observe the clinical effect of mind-refreshing and orifice-opening needling method plus swallowing disorder therapeutic apparatus for deglutition disorder of stroke patients in convalescence stage. Methods： A total of 136 patients conforming to the inclusion criteria were randomized into three groups by the random number table, including group A of 46 cases, group B of 44 cases and group C of 46 cases. Patients in group A received swallowing disorder therapeutic apparatus treatment, patients in group B received mind-refreshing and orifice-opening needling method treatment, and patients in group C received mind-refreshing and orifice-opening needling method plus swallowing disorder therapeutic apparatus treatment. The treatment was given once a day for 10 d as a course, the whole treatment lasted for 4 courses. Therapeutic evaluation items including water-swallowing test （WST）, standardized swallowing assessment （SSA） and modified Barthel index （MBI） were measured before treatment, after treatment and at follow-up visit （2 months after treatment）. Results： After treatment, scores of WST and MBI in all three groups increased significantly （all P〈0.05）, while the SSA score dropped significantly （all P〈0.05）. After treatment and during follow-up visit period, score of WST in group C was significantly higher than that in group A and group B （both P〈0.05）, while the difference between group A and group B showed no statistical significance （P〉0.05）; the SSA score in group C was substantially lower than that in group A and group B （all P〈0.05）, the difference between group A and group B showed no statistical significance （P〉0.05）; the MBI scores in group B and group C were substantially higher than that in group A （all P〈0.05）, the difference between group B and group C showed no statistical significance （P〉0.05）. After treatment and during follow-up visit period, the differences in overall therapeutic effect between group A and group B showed no statistical significance （P〉0.05）, while the overall therapeutic effect in group C was substantially better than that in group A and group B （all P〈0.05）. Conclusion： Both mind-refreshing and orifice-opening needling method and swallowing disorder therapeutic apparatus can alleviate symptoms of deglutition disorder of stroke patients respectively, and the combination of two methods can improve the therapeutic effect.
基金Supported by Special fund project of science and technology innovation,Wanzhou district,Chongqing:wzstc-042017089。
文摘Objective:To observe the effect of electroacupuncture combined with low-frequency pulsed electromagnetic field on bone metabolism in patients with spinal cord injury(SCI).Methods:The 60 SCI patients who met the inclusion criteria were randomly divided into 2 groups by means of a random number table.In the control group,30 patients were treated with osteoporosis treatment apparatus.In the observation group,30 patients were treated with osteoporosis treatment apparatus and electroacupuncture at the foot-shaoyangacupoints [Yánglíngquán(阳陵泉GB 34) and Xuánzhōng(悬钟GB 39) of both sides].The treatment was applied once a day,5 days a week,for 8 weeks.Before and after treatment,the changes of indexes in the two groups,including the bone mineral density(BMD),bone gla-containing protein(BGP),serum alkaline phosphatase(ALP),procollagen type I C-peptide(PICP),and 25-hydroxy-vitamin D [25(OH)D],were observed for comparison.Results:After treatment,in the two groups,the BMD and 25(OH)D indexes of the femoral neck,greater trochanter,and Ward’s triangle region were not significantly changed in comparing with those before treatment(P>0.05),while the BGP,ALP,and PICP indexes were significantly higher than those before treatment(P<0.05).After treatment,in the observation group,the BGP and ALP indexes were significantly increased in comparing with those of the control group,and the difference was statistically significant(P<0.05),whilst the BMD,PICP,and 25(OH)D indexes of the femoral neck,greater trochanter,and wards triangle region,were not significantly different in comparing with the control group(P>0.05).Conclusion:The osteoporosis treatment apparatus can improve bone metabolism in SCI patients,and the curative effect can be enhanced when combined with electroacupuncture at foot-shaoyangacupoints.
