Abstract:

BACKGROUND: There is a lack of effective drug for post-stroke dysarthria. Effect of single rehabilitation training is insignificant, and traditional acupuncture and moxibustion therapy obtains good treatment outcomes.
OBJECTIVE: To analyze the research focus and prospects of post-stroke dysarthria by bibliometrics, and to explore the treatment efficacy of acupuncture and moxibustion combined with speech-language training for post-stroke dysarthria.
METHODS: (1) A computer-based online research of CNKI database for the articles addressing post-stroke dysarthria from January 2004 to December 2018. The distribution of publication year, author, affiliation and funding in the literature was analyzed by group-level browsing and visualization tool. After reading the title and abstract, the review and the articles about nursing and radiography were excluded, and the articles concerning acupuncture and moxibustion were included to summarize acupuncture and moxibustion in the treatment of post-stroke dysarthria. (2) Ninety-six patients with post-stroke dysarthria admitted at the First People’s Hospital of Shenyang between June 2013 and August 2015 were enrolled, and then divided into control and treatment groups (n=48 per group). The control group underwent speech-language training, and the treatment group received speech-language training and acupuncture and moxibustion (acupuncture at tongue and neck), for two courses and 40 days in total. The clinical efficacy was evaluated by advanced Frenchay dysarthria assessment, and the adverse reactions were recorded.
RESULTS AND CONCLUSION: (1) One hundred and twenty-one Chinese articles were retrieved. There was 1 article published in 2004, total 14 articles by the end of 2018. The articles (n=5) are mainly form Chengdu University of Traditional Chinese Medicine by Hu Kaming team. Sixty percent of the first ten affiliations and the first eight authors were form the Chinese Medicine Universities or their affiliated hospitals. Of them, 72 articles addressed acupuncture and moxibustion, including 7 in acupuncture at tongue, 8 in acupuncture at tongue and neck, 7 in acupuncture at tongue and head, 12 in acupuncture and electrostimulation, 3 in acupuncture and hyperbaric oxygen therapy, and 35 in acupuncture and rehabilitation training. (2) The total effctiveness rate in the treatment group (92%) was significantly higher than that in the control group (54%) (P < 0.05). In summary, in China, studies on the treatment of post-stroke dysarthria are mainly from Chinese Medicine Universities and their affiliated hospitals. Chinese medicine, especially acupuncture and moxibustion (acupuncture at tongue and neck mostly used) is an important means in the treatment of post-stroke dysarthria. Clinical trial results suggest that post-stroke dysarthria treated by acupuncture at tongue and neck combined with speech-language training can obtain satisfactory outcomes.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

Key words: Stroke, Pseudobulbar Palsy, Acupuncture Points, Rehabilitation of Speech and Language Disorders