Clinical neurology and neurosurgery · 2025
K-point stimulation combined with temperature-differential herbal oral care in improving post-stroke dysphagia.
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Dong Xianna, Yang Yuhua, Wei Yehong, Wang Caijiao
Аннотация
OBJECTIVES: To evaluate the efficacy of K-point stimulation combined with temperature-differential herbal oral care in improving swallowing function.
DESIGN: A retrospective cohort study.
METHODS: Patients treated between January 2022 and December 2023 were divided into a control group (routine care) and an observation group (routine care plus K-point stimulation combined with temperature-differentiated herbal oral care). After applying exclusion criteria and 1:1 propensity score matching, 85 patients were included in each group and followed for six months. The primary endpoint was the time to achieve a 3-point improvement on the Food Intake LEVEL Scale (FILS).
RESULTS: The observation group demonstrated a significantly shorter median recovery time of 78 days (95 % CI: 62-96) compared to 96 days (95 % CI: 85-129) in the control group (HR = 2.351; 95 % CI: 1.688-3.276; P < 0.001). Clinical improvement in swallowing was achieved in 91.76 % of the observation group versus 81.18 % of the control group (P = 0.036), and good functional recovery at six months was observed in 85.88 % versus 70.59 % (P = 0.012). At the six-month follow-up, serum albumin and total protein levels were significantly higher in the observation group compared to the control group (P < 0.05). Multivariable Cox regression confirmed the intervention's efficacy (HR = 2.641; 95 % CI: 1.860-3.750; P < 0.001). Adverse events, including nausea, vomiting, pulmonary infections, and stroke recurrence, showed no significant differences between groups (P > 0.05).
CONCLUSIONS: K-point stimulation combined with temperature-differential herbal oral care is an effective and safe intervention for improving swallowing function and long-term outcomes in post-stroke dysphagia.
CLINICAL EVIDENCE: These findings highlight a promising therapeutic strategy for enhancing recovery in patients with post-stroke dysphagia.
DESIGN: A retrospective cohort study.
METHODS: Patients treated between January 2022 and December 2023 were divided into a control group (routine care) and an observation group (routine care plus K-point stimulation combined with temperature-differentiated herbal oral care). After applying exclusion criteria and 1:1 propensity score matching, 85 patients were included in each group and followed for six months. The primary endpoint was the time to achieve a 3-point improvement on the Food Intake LEVEL Scale (FILS).
RESULTS: The observation group demonstrated a significantly shorter median recovery time of 78 days (95 % CI: 62-96) compared to 96 days (95 % CI: 85-129) in the control group (HR = 2.351; 95 % CI: 1.688-3.276; P < 0.001). Clinical improvement in swallowing was achieved in 91.76 % of the observation group versus 81.18 % of the control group (P = 0.036), and good functional recovery at six months was observed in 85.88 % versus 70.59 % (P = 0.012). At the six-month follow-up, serum albumin and total protein levels were significantly higher in the observation group compared to the control group (P < 0.05). Multivariable Cox regression confirmed the intervention's efficacy (HR = 2.641; 95 % CI: 1.860-3.750; P < 0.001). Adverse events, including nausea, vomiting, pulmonary infections, and stroke recurrence, showed no significant differences between groups (P > 0.05).
CONCLUSIONS: K-point stimulation combined with temperature-differential herbal oral care is an effective and safe intervention for improving swallowing function and long-term outcomes in post-stroke dysphagia.
CLINICAL EVIDENCE: These findings highlight a promising therapeutic strategy for enhancing recovery in patients with post-stroke dysphagia.