Analysis of kinematic parameters of ultrasound-guided acupuncture combined with swallowing training for dysphagia in pharyngeal stage
超声引导针刺联合吞咽训练对咽期吞咽障碍的运动学参数分析

摘要

目的 分析在咽期吞咽障碍患者中采用超声引导针刺联合吞咽训练的实际价值。方法 选取2023年1月至2025年1月在我院接受治疗的50例脑卒中后咽期吞咽障碍患者，以随机数字表法分组，各25例。对照组为单一吞咽训练，观察组联合超声引导针刺，比较两组的运动学参数及不良反应风险；结果 观察组在各项运动学参数及VESS评分上均显优（P<0.05）。两组在预后不良反应发生率上差异不显著（P＞0.05）；结论 对咽期吞咽障碍患者采用超声引导针刺联合吞咽训练的干预方案，能够有效改善患者的吞咽功能相关运动学参数，且不会增加不良反应发生风险，安全性高，疗效理想，可广泛应用。

Abstract

Objective To analyze the practical value of ultrasound-guided acupuncture combined with swallowing training in patients with pharyngeal dysphagia.
Methods From January 2023 to January 2025, 50 patients with post-stroke dysphagia in pharynx were selected and randomly divided into two groups, 25 cases in each group. The control group was given single swallowing training, and the observation group was combined with ultrasound-guided acupuncture. The kinematic parameters and the risk of adverse reactions were compared between the two groups.
Results The observation group was superior in all kinematic parameters and VESS score (P<0.05). There was no significant difference in the incidence of adverse prognosis reactions between the two groups (P>0.05).
Conclusion   The intervention scheme of ultrasound-guided acupuncture combined with swallowing training for patients with dysphagia in pharyngeal stage can effectively improve the kinematics parameters related to swallowing function of patients, without increasing the risk of adverse reactions, with high safety and ideal curative effect, and can be widely used.