Sage Journals: Discover world-class research

Abstract

Objective

To explore the efficacy of pulse-feeling acupuncture combined with submental resistance training and feeding training (referred to as combined therapy) in treating dysphagia after radiotherapy for nasopharyngeal carcinoma and its effect on patients’ nutritional status.

Methods

A total of 60 patients who developed dysphagia after radiotherapy for nasopharyngeal carcinoma in our hospital were randomly divided into a rehabilitation training group (30 cases) and a combination group (30 cases). The rehabilitation training group received conventional rehabilitation training treatment, while the combination group received combined therapy. The clinical effect, nutritional status, Functional Oral Intake Scale (FOIS) score, Water Swallow Test (WST) score, esophageal upper sphincter opening assessed by videofluoroscopic swallowing study, and quality of life assessed by the M.D. Anderson Dysphagia Inventory (MDADI) were compared between the two groups.

Results

The FOIS scores in the combination group (5.46 ± 1.24) and the rehabilitation training group (4.21 ± 1.17) after treatment were both higher than before treatment (P < 0.05), with the combination group showing greater improvement (P < 0.05). The MDADI scores after treatment [(82.14 ± 6.54), (74.13 ± 5.39)] were also higher than those before treatment [(45.64 ± 8.72), (46.26 ± 8.67)] (P < 0.05), and the combination group showed better improvement than the rehabilitation training group (P < 0.05). The WST scores after treatment [(1.42 ± 0.38), (2.26 ± 0.74)] were lower than those before treatment [(3.56 ± 1.04), (3.58 ± 1.06)] (P < 0.05), and the combination group was lower than the rehabilitation training group (P < 0.05). After treatment, the esophageal upper sphincter opening and nutritional status of the two groups improved compared with those before treatment (P < 0.05), and the combination group showed more significant improvement than the rehabilitation training group (P < 0.05). The total effective rates of the combination group and the rehabilitation training group were 96.67% and 73.33%, respectively, and the combination group was significantly higher than the rehabilitation training group (P < 0.05).

Conclusion

Combined therapy for patients with dysphagia after radiotherapy for nasopharyngeal carcinoma can improve nutritional status, enhance quality of life, and significantly reduce dysphagia symptoms, as shown by improvements in FOIS, MDADI, and WST scores.

Chinese Library Classification Number: R473.73; R739.63

Keywords

pulse-feeling acupuncture submental resistance training feeding training dysphagia after radiotherapy for nasopharyngeal carcinoma

Get full access to this article

View all access options for this article.

References

Chen

H. N.

You

C. C.

Zhao

(2020). Effect of swallowing training on dysphagia patients after anterior cervical decompression and fusion. Chinese Journal of Practical Nursing, 36(7), 504–509. Chinese.

Dou

Y. X.

Liu

Y. Y.

Wang

S. B.

(2021). Effect of pharyngeal constrictor muscle radiation dose on swallowing function during intensity-modulated radiotherapy in patients with pharyngeal cancer. Chinese Journal of Medical Physics, 38(11), 1338–1342. Chinese.

Huang

Shen

H. M.

Y. L.

(2019). Effect of modified Yangyin Qingfei decoction combined with nutritional intervention on nutritional status and efficacy of nasopharyngeal carcinoma patients undergoing radiotherapy. Cancer Research on Prevention and Treatment, 46(2), 159–163. https://doi.org/10.3971/j.issn.1000-8578.2019.18.0814

Liu

Zhou

Yang

Chen

X. S.

Yan

L. G.

Jiang

Y. R.

Jia

Z. K.

(2020). Clinical study on Tiantu elongated needle with oblique puncture combined with rehabilitation training in the treatment of post-stroke dysphagia. Chinese Journal of Integrative Medicine on Cardio-/Cerebrovascular Disease, 18(15), 2400–2403. Chinese.

Liu

S. D.

Chen

Q. B.

R. Z.

Wei

W. J.

(2021). Application of respiratory function training combined with balloon dilation in the rehabilitation of cricopharyngeal achalasia after radiotherapy for nasopharyngeal carcinoma. Chinese Journal of Physical Medicine and Rehabilitation, 43(8), 700–704. https://doi.org/10.3760/cma.j.issn.0254-1424.2021.08.007

Luo

Z. R.

Lin

G. Y.

Chen

Z. B.

Yuan

L. P.

Jin

Song

Q. Q.

(2019). Effect of surface electromyography biofeedback therapy combined with swallowing training on patients with dysphagia after radiotherapy for nasopharyngeal carcinoma. Chinese Journal of Physical Medicine and Rehabilitation, 41(8), 601–605. https://doi.org/10.3760/cma.j.issn.0254-1424.2019.08.012

M. H.

Jiang

L. Q.

Tang

Y. R.

Wang

M. F.

Lin

(2022). Effect of dysphagia on esophageal motility, psychological state, and clinical related symptoms in patients with early esophageal tumors and precancerous lesions. Progress in Modern Biomedicine, 22(11), 2091–2132. https://doi.org/10.13241/j.cnki.pmb.2022.11.017

Shen

H. Q.

(2021). Comparison of the efficacy of submental resistance training and shaker training on dysphagia after cerebral infarction. Guizhou Medical Journal, 45(3), 404–406. Chinese.

Xia

Zhang

X. Q.

Gao

Huang

F. H.

(2020). Systematic review on the effect of functional exercise in preventing trismus after radiotherapy in nasopharyngeal carcinoma patients. Chinese Journal of Modern Nursing, 26(4), 456–461. https://doi.org/10.3760/cma.j.issn.1674-2907.2020.04.006

10.

Xiao

Shen

H. Q.

(2021). Comparison of the efficacy of submental resistance training and shaker training on dysphagia after cerebral infarction. Guizhou Medical Journal, 45(03), 404–406. Chinese.

11.

Xie

C. Q.

Wen

H. M.

Zhao

Yang

Dou

Z. L.

(2022). Analysis of anxiety and depression in patients with dysphagia after radiotherapy for nasopharyngeal carcinoma. Chinese Journal of Physical Medicine and Rehabilitation, 44(04), 344–347. https://doi.org/10.3760/cma.j.issn.0254-1424.2022.04.013

12.

Yang

M. L.

Feng

W. X.

Yan

F. F.

(2022). Mechanism and clinical research progress of acupuncture in the treatment of Parkinson's disease dysphagia. International Journal of Traditional Chinese Medicine, 44(10), 1192–1195. https://doi.org/10.3760/cma.j.cn115398-20211105-00078

13.

Zhang

T. Y.

Liu

L. N.

Y. T.

Liu

L. R.

(2019). Comparison of the effects of combined oral muscle biofeedback therapy with conventional medication and rehabilitation on dysphagia after acute cerebral infarction. Journal of Harbin Medical University, 53(3), 302–305. Chinese.

14.

Zhao

X. Y.

Deng

(2020). Effect of Zengye Baihu decoction combined with pulse-feeling acupuncture diagnosis on dysphagia after radiotherapy for nasopharyngeal carcinoma and its impact on VCA-IgA, Rta-IgG, SA antibody levels. Journal of Liaoning University of Traditional Chinese Medicine, 191(3), 147–150. https://doi.org/10.13194/j.issn.1673-842x.2020.03.038

15.

Zhu

Y.Z.

Yang

C. S.

Huang

S. P.

Wen

J. P.

Huang

W.G.

Xiao

S.J.

(2024). Corrigendum to: Progress of Angiogenesis Signal Pathway and Antiangiogenic Drugs in Nasopharyngeal Carcinoma. Current Molecular Pharmacology, 17. https://doi.org/10.2174/187446721701240918095836

Analysis of the Effect of Pulse-Feeling Acupuncture Combined with Submental Resistance Training and Feeding Training on Dysphagia in Patients After Radiotherapy for Nasopharyngeal Carcinoma

Abstract

Objective

Methods

Results

Conclusion

Keywords

Get full access to this article

References