Stages Of TCD In Patients With Post - Stroke Pseudo - Balloon Palsy And Swallowing Disorder

Purpose:by transcranial doppler ultrasound instrument observation, a clump of acupuncture treatment of false bulbar paralysis after stroke the curative effect of swallowing disorder, and observed before and after treatment of middle cerebral artery(MCA) hemodynamic changes, to explore a clump of acupuncture method for swallowing disorder after stroke the influence of the middle cerebral artery(MCA) in patients with TCD. Material and method:in liaoning university of traditional Chinese medicine hospital rehabilitation center neural encephalopathy 3 subjects in the inpatient and outpatient department’s collection of 100 cases after stroke patients with swallowing disorder(pseudo bulbar paralysis), according to the principle of random grouping, the 100 patients were randomly divided into 2 groups. A group for the control group, another group of clumps of groups, each group composition age, sex and disease composition, there were no significant difference by statistical analysis(P > 0.05). Two groups of patients were consistent with the diagnostic criteria and inclusion criteria, and has passed the corresponding exclusion standard screening. Two groups of patients were medical routine nursing care, treatment and support therapy. Include: monitoring and control of blood pressure, blood lipid, blood sugar treatment, platelet aggregation in therapy, nerve nutrition therapy, improve microcirculation treatment, etc. 50 cases of control group, and group clumps of 50 cases. Two groups of patients with a clump of acupuncture are twice a day, six days for one period of treatment, to rest after a day of the second period of treatment(jinjun, yuye thorn bloodletting 3 day 1 time), then judge the curative effect after 4 cycles. 2 groups of patients were chosen kubota drinking water test for clinical evaluation index, and middle cerebral artery blood flow detection, observe two groups before treatment, after middle cerebral artery(MCA) hemodynamic changes. The experiment selected parameters for: Vs. Results: 1, clinical curative effect comparison group total effectiveness 94.12% and control group total effectiveness 83.67%, item clumps of therapy for match-fixing paralysis dysphagia after stroke treatment can improve the efficiency. Item clumps of group Ⅲ class above rate for evaluation of curative effect is better than that of control group, 2, 4 weeks between control group and clumps of item group compared with significant difference(P < 0.05). 2, the control group with clumps of group therapy and treatment 2 weeks before the MCA Vs compared respectively,(P < 0.05), statistically difference, shows that two kinds of therapy can improve the MCA blood velocity. 3, 2 weeks, the control group with clumps of group Vs contrast between the two groups after treatment bring about bring(P < 0.05), but think there are differences between the two groups after treatment results, there is statistical significance, shows that item clumps of treatment group is better than that of control group 2 weekends; Item 4 weeks, the control group with clumps of group Vs contrast between the two groups after treatment bring about bring bring( P < 0.01), can think results have significant differences, the two groups after treatment was statistically significant, that clumps of item set is 4 weeks curative effect is superior to the control group. 4, set on the first day of data comparison before and after acupuncture s P > 0.05, no statistical difference, that a single item effects of MCA hemodynamic Vs clumps of treatment the short-term effect of(30 min) level, there is no statistical significance. 5, clumps of group 2 weeks and 4 weeks Vs data comparison between u P > 0.05, no statistical difference, that item clumps of MCA hemodynamic Vs impact is saturated state, item clumps of significantly and improve the ability of MCA Vs may be in 2 weeks or 2 weeks ago already close to saturation. Conclusion: 1 clumps with simple medical treatment all can improve the hemodynamics of MCA Vs speed, clumps of therapy can improve match-fixing paralysis dysphagia after stroke treatment efficiency、Ⅲ class above rate, clumps of therapy is superior to the pure medical treatment, the method is worth popularization; 2 Single item clumps of treatment effect of MCA hemodynamic Vs short-term effect; 3 Clumps of hemodynamic effects of MCA hemodynamic Vs saturation state. 4 TCD between data and rehabilitation score is not completely symmetrical.