Post-stroke dysphagia
Conditions
Interventions
True auricular acupoint electrical stimulation (auricular vagus nerve area) group:Medication, body acupuncture, limb rehabilitation, swallowing rehabilitation, true stimulation
False auricular acupoint electrical stimulation (auricular vagus nerve area) group:Medication, body acupuncture, limb rehabilitation, swallowing rehabilitation, pseudostimulation
Sponsors
Guangdong No. 2 Hospital of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. Meet the diagnostic criteria for stroke; 2.Age in the range of 18-70 years old, male and female; 3. Those who have impaired swallowing safety as assessed by the Pudding Drinking Test >= grade 3 or VVST-CV; 4. 2 weeks < time of dysphagia < 6 months; 5. Relatively fixed medication regimen for at least one week prior to enrollment; 6. Signed informed consent. *The diagnostic criteria of stroke refer to the diagnostic principles of cerebral infarction and cerebral hemorrhage in Diagnostic Points of Various Major Cerebrovascular Diseases in China 2019 (details are as follows), and the diagnosis is confirmed by cranial CT or MRI. A. Diagnostic points of ischemic stroke (cerebral infarction): a Acute onset of focal neurologic deficits, a few may be generalized neurologic deficits; b Cranial CT/MRI confirms the corresponding infarct foci in the brain, or the symptoms and signs persist for more than 24 h, or lead to death within 24 h; c Exclude non-ischemic etiology; B. Diagnostic points of cerebral hemorrhage: a Sudden focal neurologic deficit or headache, vomiting, and varying degrees of impaired consciousness; b Cranial CT/MRI showing intracerebral hemorrhagic lesions; c Exclude secondary or traumatic cerebral hemorrhage due to other etiologies.
Exclusion criteria
Exclusion criteria: 1. Unstable vital signs (blood pressure, respiration, pulse, heart rate) or with active cerebral hemorrhage; 2. Arrhythmia or heart rate <60 beats/minute; 3. With pacemaker or metal foreign body in the skull, cochlear implantation; 4. Inability to receive electrical stimulation therapy due to infection, breakage or absence of the outer ear; 5. A history of vagus nerve surgery or damage to the vagus nerve; 6. Swallowing disorders caused by other diseases; 7.Patients with cognitive disorders and disorders of consciousness.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Penetration-Aspiration Scale; | — |
Secondary
| Measure | Time frame |
|---|---|
| Yale pharyngeal residue severity rating scale;Modified Mann Assessment of Swallowing Ability;Hyoid bone displacement distance and hyoid bone-thyroid cartilage convergence distance during active swallowing;transcranial magnetic stimulation motor-evoked potential;functional oral intake scale; | — |
Countries
China
Contacts
Public ContactLiu Tong
Guangdong No. 2 Hospital of Traditional Chinese Medicine
Outcome results
None listed