Objective: To observe the effect of acupuncture on swallowing function and nutritional status of patients with Parkinson's disease (PD) dysphagia.
Methods: A total of 56 patients with PD dysphagia were randomly divided into an observation group and a control group, 28 cases in each one. Both groups were given conventional treatment and swallowing function rehabilitation training.On the basis, the observation group was treated with acupuncture (filiform needling and tongue picking acupuncture). The acupoints of filiform needling were Lianquan (CV 23), Shanglianquan (Extra), Yifeng (TE 17), etc.; and the tongue picking acupuncture was applied at Jinjin (EX-HN 12), Yuye (EX-HN 13) and posterior pharyngeal wall. Rehabilitation training and acupuncture were performed once a day for 5 consecutive days a week, 2 weeks as a course of treatment, 3 courses in total. The swallowing function [oral transit time (OTT), swallowing response time (SRT), pharyngeal transit time (PTT), laryngeal closure duration (LCD)] and nutritional indexes [body mass index (BMI), serum albumin (ALB), serum prealbumin (PA), hemoglobin (Hb)] in the two groups were evaluated before and after treatment, and the clinical effects were compared.
Results: After treatment, the paste and liquid OTT, SRT, PTT, LCD in the two groups were shorter than those before treatment (P<0.05), and the observation group was shorter than the control group (P<0.05). After treatment, the nutritional indexes (BMI, ALB, PA, Hb) in the two groups were higher than those before treatment (P<0.05), and the observation group was higher than the control group (P<0.05). The total effective rate of the observation group was 92.9% (26/28), which was better than 67.9% (19/28) of the control group (P<0.05).
Conclusion: Acupuncture-assisted rehabilitation training can improve the swallowing function and nutritional status in patients with Parkinson's disease swallowing disorders.
目的：观察针刺对帕金森病（PD）吞咽障碍患者吞咽功能和营养状况的影响。方法：将56例PD吞咽障碍患者随机分为观察组和对照组，每组28例。两组均给予常规治疗和吞咽功能康复训练，观察组在此基础上予针刺（毫针针刺和舌针点刺）治疗，毫针针刺穴取廉泉、上廉泉、翳风等；舌针点刺穴取金津、玉液、咽后壁。康复训练及针刺均每日1次，每周连续治疗5 d，2周为一疗程，共治疗3个疗程。分别于治疗前后观察两组患者吞咽功能[口期传递时间（OTT）、吞咽反应时间（SRT）、咽期传递时间（PTT）、喉关闭时间（LCD）]和营养指标[体质量指数（BMI）、血清清蛋白（ALB）、血清前清蛋白（PA）、血红蛋白（Hb）]的变化情况，并比较临床疗效。结果：治疗后两组糊状物和液体OTT、SRT、PTT、LCD均较治疗前缩短（P<0.05），且观察组短于对照组（P<0.05）；治疗后两组营养指标（BMI、ALB、PA、Hb）均较治疗前升高（P<0.05），且观察组高于对照组（P<0.05）；观察组的总有效率为92.9%（26/28），优于对照组的67.9%（19/28，P<0.05）。结论：针刺辅助康复训练治疗可改善帕金森病吞咽障碍患者的吞咽功能和营养状况。.
Keywords: Parkinson's disease; acupuncture; dysphagia; randomized controlled trial (RCT); tongue acupuncture.