Advanced Search

Journal of Traditional Chinese Medicine >

2022 , Vol. 42 >Issue 4: 617 - 621

DOI: https://doi.org/10.19852/j.cnki.jtcm.20220516.004

Research Articles

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

  • Xuewei ZHU ,
  • Minghui LIU ,
  • Minru ZONG ,
  • Qianqian CHEN ,
  • Jianfeng WANG
Expand
  • 1 Department of otolaryngology head and neck surgery,China-Japan Union Hospital of Jilin University, Changchun 130033, China
    2 Department of Chinese traditional Medicine, China-Japan Union Hospital of Jilin University, Changchun 130033, China
    3 Department of rehabilitation, China-Japan Union Hospital of Jilin University, Changchun 130033, China
    4 Department of Radiotherapy, China-Japan Union Hospital of Jilin University, Changchun 130033, China
LIU Minghui, Department of Chinese traditional Medicine, China-Japan Union Hospital of Jilin University, Changchun 130033, China. liumh@jlu.edu.cn, Telephone: +86-431-84995456
Prof. WANG Jianfeng, Department of Radiotherapy, China-Japan Union Hospital of Jilin University, Changchun 130033, China. jfwang@jlu.edu.cn;

Received date: 2021-12-03

  Accepted date: 2022-03-08

  Online published: 2022-07-12

Supported by

Natural Foundation Project of Science and Technology Department of Jilin Province To the role of SET 8 gene in the expression of P 53 and apoptosis in laryngeal carcinoma TU 212 cells(20200201432JC)

Fold

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

Cite this article

Xuewei ZHU , Minghui LIU , Minru ZONG , Qianqian CHEN , Jianfeng WANG . 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 . DOI: 10.19852/j.cnki.jtcm.20220516.004

References

1 Hasan Z, Dwivedi RC, Gunaratne DA, et al. Systematic review and Meta-analysis of the complications of salvage total laryngectomy. EJSO 2017; 43: 42-51.
2 Terlingen LT, Pilz W, Kuijer M, et al. Diagnosis and therapies of oropharyngeal dysphagia after total laryngectomy with or without pharyngoesophageal reconstruction: systematic review. Head Neck-J SCI 2017; 40: 2733-48.
3 Mancopes R, Smaoui S, Steele CM. Effects of expiratory muscle strength training on videofluoroscopic measures of swallowing: a systematic review. AM J Speech-Lang PAT 2020; 29: 335-56.
4 Zhang LP, Huang ZS, Wu H, et al. Effect of swallowing training on dysphagia and depression in postoperative tongue cancer patients. Eur J Oncol Nurs 2014; 18: 626-9.
5 Sheng RY, Yan Y, Linh Dang HH. Acupuncture for hot flashes: a literature review of randomized controlled trials conducted in the last 10 years. World J Tradit Chin Med 2021; 7: 397-407.
6 Lu YY, Chen Y, Huang DT, et al. Efficacy of acupuncture for dysphagia after stroke: a systematic review and Meta-analysis. Ann Palliat Med 2021; 10: 3410-22.
7 Xu J, Zhang J, Wang J. The application of Traditional Chinese Medicine against the tumor immune escape. J Transl Intern Med 2020; 8: 203-4.
8 Djaali W, Simadibrata CL, Nareswari I. Acupuncture therapy in post-radiation head-and-neck cancer with dysgeusia. Med Acupunct 2020; 32: 157-62.
9 Frowen JJ, Cotton SM, Perry AR. The stability, reliability, and validity of videofluoroscopy measures for patients with head and neck cancer. Dysphagia 2008 23: 348-63.
10 Chen AY, Frankowski R, Bishop-Leone J, et al. The development and validation of a dysphagia-specific quality-of-life ques-tionnaire for patients with head and neck cancer: the MD. Anderson dysphagia inventory. Arch Otolaryngol Head Neck Surg 2001; 127: 870-6.
11 Aaronson N, Ahmedzai S, Bergman B, et al. The European Organization for Research and Therapies of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. Natl Cancer 1993; 85: 365-76.
12 Baijens LWJ, Walshe M, Aaltonen LM, et al. European white paper: oropharyngeal dysphagia in head and neck cancer. Eur Arch Oto-Rhino-L 2021; 278: 577-616.
13 Loyo M, Espinoza S, Giraud P, et al. Early and severe dyspnea after supracricoid partial laryngectomy. Ann Otol Rhinol Laryngol 2014; 123: 53-7.
14 Agrawal D, Kern M, Lynch SM, et al. Effect of swallow strength training on oropharyngeal swallow function and deglutitive biomechanics in patients with oropharyngeal dysphagia after therapies for head and neck cancer. Gastroenterology 2020; 158: 1082-2.
15 Kraaijenga SAC, Molen LV, Stuiver MM, et al. Efficacy of a novel swallowing exercise program for chronic dysphagia in long-term head and neck cancer survivors. Head Neck 2017; 39: 1943-61.
16 Gao JX, Zhou HF. Therapeutic effect of nape cluster acupuncture combined with swallowing function training on post-stroke dysphagia. Zhong Guo Zhen Jiu 2020; 40: 586-90.
17 Li LX, Deng K, Qu Y. Acupuncture therapies for post-stroke dysphagia: an update Meta-analysis of randomized controlled trials. Chin J Integr Med 2018; 24: 686-95.
18 Zheng HD, Wang ZQ, Li SS, et al. Effect of acupoints on acupuncture-moxibustion and its therapeutic mechanism. World J Tradit Chin Med 2020; 6: 239-48.
19 Chen KX. Academician kai-xian chen talks about the development of Traditional Chinese Medicine and global medicine. World J Tradit Chin Med 2020; 6: 1-11
20 Liu XP, Chen FY, Chu JM, et al. Effects of nape acupuncture combined with swallowing rehabilitation on dysphagia in pseudobulbar palsy. J Tradit Chin Med 2018; 38: 117-24.
21 Lu YY, Chen Y, Huang DT, et al. Efficacy of acupuncture for dysphagia after stroke: a systematic review and Meta-analysis. Ann Palliat Med 2021; 10: 3410-22.
22 Bressan V, Stevanin S, Bianchi M, et al. The effects of swallowing disorders, dysgeusia, oral mucositis and xerostomia on nutritional status, oral intake and weight loss in head and neck cancer patients: a systematic review. Cancer Treat Rev 2016; 4: 105-19.
23 Batıoğlu-Karaaltın A, Binbay Z, Yiğit Ö, et al. Evaluation of life quality, self-confidence and sexual functions in patients with total and partial laryngectomy. Auris Nasus Larynx 2017; 44: 188-94.
24 Djaali W, Simadibrata CL, Nareswari I. Acupuncture therapy in post-radiation head-and-neck cancer with dysgeusia. Med Acupunct 2020; 32: 157-62.
Options
Outlines

/

〈 〉