Full
Outline
To study the effect of acupuncture on swallowing function and quality of life in patients with dysphagia after stroke.
Ninety-two patients with post-stroke dysphagia diagnosed and treated in the hospital from January 2023 to February 2024 were randomly divided into two groups，with 46 cases in each group. The control group was given the routine intervention，and the observation group was given acupuncture on the basis of the control group. The treatment time was 8 weeks. The curative effect，swallowing function，swallowing of food，quality of life and adverse reactions were observed and compared between the two groups.
The total effective rate of the observation group was 95.65%（44/46），which was significantly higher than that of the control group（82.61%，38/46）. The difference between the two groups was statistically significant（P<0.05）. After treatment，the Water Swallow Test（WST）score and standardized swallowing assessment（SSA）score of the observation group were significantly lower than those of the control group［（2.75±0.28）points，（27.80±2.31）points vs（3.05±0.40）points，（29.61±2.72）points］（P<0.05）. There was no significant difference in Gugging Swallowing Screen（GUSS）score between the two groups before treatment（P>0.05）. After treatment，the total GUSS score of the observation group was higher than that of the control group［（11.78±3.47）points vs（9.62±2.81）points］（P<0.05）. There was no significant difference in Swallowing Quality of Life（SWAL-QQL）scores between the two groups before treatment（P>0.05）. After treatment，the SWAL-QOL scores of the observation group were significantly higher than those of the control group［（112.71±10.48）points vs（106.42±9.10）points］（P<0.05）. No serious adverse reactions occurred in both groups.
The clinical efficacy of acupuncture combined with extracorporeal shock wave in the treatment of upper limb muscle tension after stroke is satisfactory. It can significantly improve the swallowing function of patients and improve the swallowing of food and daily living ability，and has good safety.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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