Effect of three tongue needles acupoints Lianquan (CV23) and Hegu (LI4) combined with swallowing training on the quality of life of laryngeal cancer patients with dysphagia after surgery

doi:10.19852/j.cnki.jtcm.20220516.004

Abstract

Abstract:

OBJECTIVE: To evaluate the effect of acupuncture therapies administered in combination with swallowing training on the quality of life of laryngeal cancer patients with dysphagia after surgery. METHODS: Seventy-one postoperative patients with laryngeal cancer participated in this study. The patients diagnosed with swallowing dysfunction by video fluoroscopic swallowing examination (VFSE) were randomly divided into experimental group (n = 36) and control group (n = 35). Patients in both groups were provided swallowing training and rehabilitation consultation. Patients in the experimental group were additionally provided with acupuncture therapies. All patients were evaluated using VFSE and MD Anderson dysphagia inventory (MDADI) and Quality of Life Questionnaire-core 30 (QLQ-c30) score immediately after surgery and three months later. RESULTS: The effective rate of 97.1% (n = 35) and the complete remission rate of 36.1% (n = 13) in the experimental group were higher than those in the control group of 60% (n = 21) and 14.3% (n = 5) (P < 0.01). The scores of VFSE, MDADI and QLQ-c 30 in the experimental group and the control group at three months after therapies were significantly improved compared with those before therapies (P < 0.05). The scores of VFSE, MDADI and QLQ-c30 in the experimental group at three months after therapies were significantly improved compared with the control group. The improvement in the intervention group was significantly better than that in the control group. There were no adverse reactions in two groups. CONCLUSIONS: Acupuncture therapies combined with swallowing training can improve the swallowing function and the quality of life of laryngeal cancer patients with dysphagia after surgery.

Key words: laryngeal neoplasms, deglutition disorders, acupuncture, swallowing training, quality of life

ZHU Xuewei, LIU Minghui, ZONG Minru, CHEN Qianqian, WANG Jianfeng. Effect of three tongue needles acupoints Lianquan (CV23) and Hegu (LI4) combined with swallowing training on the quality of life of laryngeal cancer patients with dysphagia after surgery[J]. Journal of Traditional Chinese Medicine, 2022, 42(4): 617-621.

Figures/Tables 4

References 24

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Group	n	Gender (n)		Age (years)	Stage		Education years (years)	Family Income (×10⁴CNY)
Group	n	Male	Female	Age (years)	Ⅲ	Ⅳ	Education years (years)	Family Income (×10⁴CNY)
Experimental	36	25	11	55.8±10.2	10	26	9.2±2.7	9.4±2.8
Control	35	22	13	57.1±11.5	12	23	10.0±3.0	8.9±3.0

Group	n	Gender (n)		Age (years)	Stage		Education years (years)	Family Income (×10⁴CNY)
Group	n	Male	Female	Age (years)	Ⅲ	Ⅳ	Education years (years)	Family Income (×10⁴CNY)
Experimental	36	25	11	55.8±10.2	10	26	9.2±2.7	9.4±2.8
Control	35	22	13	57.1±11.5	12	23	10.0±3.0	8.9±3.0

Group		n	VFSE	MDADI	QLQ-c 30
Experimental	Before therapies	36	6.0±2.9	51.0±8.9	48.5±6.8
	3 months after therapies	36	2.1±1.8^ab	64.0±11.4^ab	55.9±7.1^ab
Control	Before therapies	35	6.0±3.2	51.2±9.5	48.3±6.6
	3 months after therapies	35	4.0±2.3^a	58.7±10.6^a	51.3±6.9^a

Group		n	VFSE	MDADI	QLQ-c 30
Experimental	Before therapies	36	6.0±2.9	51.0±8.9	48.5±6.8
	3 months after therapies	36	2.1±1.8^ab	64.0±11.4^ab	55.9±7.1^ab
Control	Before therapies	35	6.0±3.2	51.2±9.5	48.3±6.6
	3 months after therapies	35	4.0±2.3^a	58.7±10.6^a	51.3±6.9^a

Group	n	VFSE	MDADI	QLQ-c30
Experimental	36	5.2±2.0^a	1.9±1.4^a	8.3±7.8^a
Control	35	3.6±2.1	0.7±1.2	4.4±6.9

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