目的：研究舌针疗法联合超声波对鼻咽癌放疗后吞咽障碍患者吞咽功能的影响。方法：选取2022年1月至2023年5月沧州中西医结合医院就诊的鼻咽癌放疗后吞咽障碍患者60例，根据就诊顺序随机数字表法分为对照组(常规康复和超声波治疗)和观察组(常规康复、超声波治疗和舌针疗法)，两组各30例。电视荧光吞咽检查(VFSS)测定两组患者治疗前后吞咽期时间；洼田饮水试验(WST)评估两组患者治疗前后的WST等级；根据WST等级的变化评估临床疗效；中文版安德森吞咽困难量表(MDADI)评估两组患者治疗前后的吞咽功能。结果：治疗后，两组患者口腔期、吞咽反射、咽期、喉关闭期时间均减少，且观察组时间差值大于对照组，差异具有统计学意义(P<0.05)。两组患者的WST等级优于治疗前，且观察组治疗后的WST等级优于对照组。治疗后，观察组临床疗效优于对照组。两组MDADI评分较治疗前均减少，观察组MDADI评分差值大于对照组。结论：舌针疗法联合超声波治疗能够减少鼻咽癌放疗后吞咽障碍患者吞咽食团、液体所需时间以及吞咽时的呛咳，改善吞咽功能，提高生活质量。

Objective:To study the effect of tongue acupuncture therapy combined with ultrasound on swallowing function of patients with dysphagia after radiotherapy for nasopharyngeal carcinoma. Methods:Sixty patients with dysphagia after radiotherapy for nasopharyngeal carcinoma who visited Cangzhou Integrated Traditional Chinese and Western Medicine Hospital from January 2022 to May 2023 were selected and randomly divided into the control group(conventional rehabilitation and ultrasound treatment) and the observation group(conventional rehabilitation,ultrasound therapy,and tongue acupuncture therapy) according to the order of treatment,with 30 cases in each group. The duration of the swallowing period before and after treatment in the two groups of patients was determined by television fluorescence swallowing study(VFSS). The water swallowing test(WST) grades of the two groups of patients before and after treatment were evaluated by using the WST test. The clinical efficacy was valuated based on the changes in WST grades. The swallowing function of the two groups of patients before and after treatment was evaluated by using the Chinese version of the Anderson Dysphagia Scale(MDADI). Results:After treatment,the durations of the oral phase,swallowing reflex,pharyngeal phase,laryngeal closure phase in both groups decreased. Moreover,the observation group were greater than those in the control group,and the differences were statistically significant(P<0.05). After treatment,the WST grades of the two groups of patients were better than those before treatment,and the observation group after treatment were better than those of the control group. The clinical efficacy of the observation group after treatment was better than the control group. MDADI score in both groups decreased,the observation group was greater than those in the control group. Conclusions:Tongue acupuncture therapy combined with ultrasound treatment can reduce the time required for swallowing food ball,liquids,and coughing during swallowing in patients with dysphagia after radiotherapy for nasopharyngeal carcinoma,as well as improve the swallowing function and enhance the quality of life.