The Clinical Research Of Swallowing Dysfunction After Stroke By Swallowing Staging Acupuncture Treatment

Background:Dysphagia is a common complication of stroke. The number of patients with new onset of stroke at least20million in China annually and the occurrence of acute stroke dysphagia ratio was41%, which decreased in chronic phase but not less than16%. If no timely treatment and intervention, because of eating disorders, it is likely to cause malnutrition in patients of stroke, metabolic disorders, and dehydration due to inadequate water intake causing a serious impact on the rehabilitation of stroke patients, aspiration might cause aspiration pneumonia, which might endanger the lives of stroke patients. Therefore, we should attach importance to diagnosis and treatment of the acute phase of swallowing disorders. Besides, we ought to pay attention to factors which still exist after the acute phase. These factors may be secondary to the patients with complex correlation, such as malnutrition, aspiration, pneumonia, and even suffocation. Therefore one of the current research hotspots in the medical profession is to find an effective treatment for dysphagia after stroke. With the deep research, acupuncture therapy after stroke dysphagia have already achieved some good results. But there are also shortcomings:the messy methods, different evaluation criteria and the lack of systematic research.Purpose:To evaluate the efficacy of swallowing staging acupuncture therapy on dysphagia after stroke and to try to find the possible mechanisms of it and to provide evidence-based basis and do basic exploration for further exhaustive study, by comparing the clincial efficacy of swallowing staging acupuncture therapy and conventional acupuncture therapy on dysphagia after stroke.Method:60qualfied patients according with the criteria were randomly and chronologically dividied into the treatment group and the control group, the two groups of oral and pharyngeal phase are15; the singular number included in the experimental group while the double number included the control group.The clincial efficacy of the treatment group(swallowing staging acupuncture therapy) and the control group (the conventional acupuncture therapy)12were compared. Evaluation criteria inclueded Kubota water test scores and swallowing function assessment criteria (SSA) score. Besides, the occurrence of adverse events were recorded.Result:The Kubota water test score and SSA scores of the both groups deceased after the treatment, compared by paired t test, and the difference were statistically significant(P<0.05). The differences of the Kubota water test score and SSA scores of the both groups after the treatment and before the treatment were compared by the independent sample t test. And the difference of the treatment group was greater than that of the control group and was statistically significant(P<0.05).In the oral phase, the Kubota water test score and SSA scores of the both groups deceased after the treatment, compared by paired t test, and the difference were statistically significant(P<0.05). The differences.of the Kubota water test score and SSA scores of the both groups after the treatment and before the treatment were compared by the independent sample t test. And the difference of the treatment group was greater than that of the control group and was statistically significant(P<0.05).In pharyngeal phase, the Kubota water test score and SSA scores of the both groups deceased after the treatment, compared by paired t test, and the difference were statistically significant(P<0.05). The differences of the Kubota water test score and SSA scores of the both groups after the treatment and before the treatment were compared by the independent sample t test. And the difference of the treatment group was greater than that of the control group and was statistically significant(P<0.05).Conclusion:As with the dysphagia after stroke, the clincial efficacy of the swallowing staging acupuncture therapy is better than that of the conventional acupuncture therapy. The clincial efficacy of the swallowing staging acupuncture therapy is better than that of the conventional acupuncture therapy in both the oral phase and the pharyngeal phase.