| BackgroundOur country gradually step into aging society, stroke become a danger to old people health life of disease. Stroke incidence, high with high morbidity characteristics, is very harmful to human health life. Swallowing disorder is common complication of stroke, according to the report, the acute stroke patients about29%a60.4%have swallowing function obstacle, the training in the disease after a month or so there are still nearly10%can’t through the mouth to eat, ManXingQi about6%-34%of patients exist swallowing function obstacle, Swallowing disorder often leads to a variety of serious complications, such as pneumonia, dehydration, suck the human nature of malnutrition, bronchospasm, airway obstruction, even can cause dangerous life, and social isolation and depression, appear negative social psychology, thus seriously influence the patient’s mental and physical health. Despite the high incidence of swallowing disorder, but very few patients can receive swallowing disorder of formal diagnosis and treatment, many of them in patients with serious complications and medical expenses is surprising. How to establish one or several clinical treatment for stroke patients swallow disability, method really effective treatment, especially of combining traditional Chinese and western medicine treatment, patients were able to eat properly, and use the standardized examination evaluation, be helpful for clinical promotion, and will be of the national economy and people’s health play an active influence.ObjectiveThrough the observation of oral fill in beneficial gas tonga with swallowing rehabilitation training and reduce Vocastim swallowing disorder treatment instrument after stroke the influence of swallowing disorder, to establish an effective combining traditional Chinese and western medicine treatment plan. But at the same time, through this plan to improve swallowing disorder after stroke patient life quality, reduce the various complications and reduce mortality, reduce the family and social economic burden.MethodsA stratified randomized controlled study method is used.The patients meeting the standards are devided into the treatment group and control group. Each group according to plan, before treatment and treatment for3weeks, respectively WaTian swallowing the assessment, and the ability to level7grading evaluation, according to WaTian swallowing ability assessment and just cane level7grading comprehensive judgments clinical curative effect. In addition, two groups before and after treatment in all accept electrocardiogram and chest radiograph check, record the adverse reaction treatment process, with the two treatment methods of safety evaluation. After the treatment duration, will collect the data to double double lose form into the computer and software package and management of the SAS in statistical analysis. Statistical methods MH-a chi-square test.Results1. Cases included a total of42cases, that the treatment group of21cases and21cases of the control group. No cases of loss and death.Two groups of WaTian swallowing the assessment, the ability to level7score data comparison before and after treatment, there was significant difference, P<0.05(table8), the results show that the two groups of treatment after stroke in improving swallowing function obstacle all have curative effect.2. Comparison of the two groups, according to WaTian swallowing group, the efficacy evaluation standard ability, the treatment group significant efficiency for:61.90%, the recovery is28.57%, and no efficiency for:9.52%, total effective rate:90.48%; The control group significant efficiency for:4.76%, the recovery is61.90%, and no efficiency for:33.33%, total effective rate:66.67%. After the MH-a chi-square test processing, the curative effect of two levels of the orderly material comparing statistical significance, P<0.05(table6), the results show that the two groups for stroke swallowing disorder after the treatment effect of the treatment group were different, more than those in the control group. The treatment group and control group before and after treatment WaTian swallowing ability by Wilcoxon rank evaluation and test analysis, the differences between the two qol, P<0.05(chart9), two groups that can improve the patients WaTian swallowing ability to evaluate the grade, the improving function of the treatment group than in control group.According to level7evaluation method to cane group, the efficacy evaluation standard, the treatment group significant efficiency for:66.67%, the recovery is23.81%, and no efficiency for:9.52%, total effective rate:90.48%; The control group significant efficiency for:4.76%, the recovery is61.90%, and no efficiency for:33.33%, total effective rate:66.67%. The MH-a chi-square test processing, the curative effect of two levels of the orderly material comparing statistical significance, P<0.05(table7), the results show that the two groups for stroke swallowing disorder after the treatment effect of the treatment group were different, more than those in the control group. Treatment group and control group to cane before and after treatment level7evaluation method to assess the rank and Wilcoxon inspection analysis, the differences between the two qol, P<0.05(chart9), the results show that the two groups for stroke swallowing disorder after the treatment effect of the treatment group were different, more than those in the control group.3. Treatment process has not seen the adverse reaction.ConclusionFill in beneficial gas tonga combined with swallowing reduction of rehabilitation training and Vocastim instrument swallowing disorder after stroke of swallowing disorder definite effect, and the effect of rehabilitation training combined with than swallowing Vocastim instrument swallowing disorder is good. The research process has not seen the adverse reactions, high security, for stroke swallow disability, method provide a safe and effective treatment of combining traditional Chinese and western medicine. |
PDF Full Text Request