Effect Of Epiglottis Zhuyu Decoction On Dysphagia Dysfunction After Blood Stasis Apoplexy

Objective:Based on the clinical observation of epiglottis Zhuyu decoction in the treatment of deglutition dysfunction after blood-stasis type stroke,to explore the efficacy and safety of epiglottis Zhuyu decoction in the treatment of deglutition dysfunction after blood-stasis type stroke,and to explore a new clinical scheme of integrated Chinese and western medicine in the treatment of deglutition dysfunction after stroke.Methods:Sixty patients admitted to the Encephalopathy Department of Weifang Hospital of Traditional Chinese Medicine from November 2021 to November 2022 were selected,and all of them met the diagnostic criteria and inclusion criteria of postapoplexy dysphagia(blood stasis type).Patients were randomly divided into observation group and control group,with 30 patients in each group.The observation group was given conventional neurology drugs,swallowing rehabilitation training and acupuncture plus epiglottis Zhuyu decoction,while the control group was only given conventional treatment,swallowing training and acupuncture.One dose of traditional Chinese medicine decoction per day,oral or nasal feeding for 4 weeks.The depression Water test(WST),dysphagia evaluation criteria,Ability of Daily Living Scale(ADL),National Institutes of Health Stroke Scale(NHISS)and TCM Syndrome Scale were used to score before and after treatment.t test was used for measurement data,rank sum test for rank data and Chi-square test for counting data to evaluate clinical efficacy.Results:1.Grade evaluation of swale drinking water test:The grade evaluation of swale drinking water test of the two groups after treatment was statistically significant compared with that before the test(P<0.01).After treatment,the drinking water test grade of the depression field in the observation group was statistically significant compared with the control group(P<0.05).Evaluation of efficacy of depression drinking water test:After treatment,the total effective rates of the observation group and the control group were 90%and 83%,respectively.By rank sum test,the comparison of efficacy of depression drinking water test in the two groups was statistically significant(P<0.05),and the observation group was better than the control group.2.Evaluation criteria score of dysphagia:The score after treatment was statistically significant compared with that before the experiment(P<0.01);After treatment,the score of the observation group was significantly different from that of the control group(P<0.05).Evaluation criteria for dysphagia Efficacy evaluation:After treatment,the total effective rates of the observation group and the control group were 92%and 80%,respectively.The rank sum test showed that the comparison of the efficacy of the two groups in the evaluation of dysphagia was statistically significant(P<0.05),and the observation group was better than the control group.3.ADL evaluation criteria:the score after the experiment was statistically significant compared with that before the experiment(P<0.01).After treatment,the score of the observation group was significantly different from that of the control group(P<0.05).4.NHISS score:Compared with before treatment,neurological deficit score in both groups was significantly decreased after treatment(P<0.05),which was statistically significant.After treatment,the NHISS score was lower than before,and the symptoms of neurological impairment were reduced,and the observation group was better than the control group.5.The curative effect criteria of TCM syndrome:the score after the experiment was compared with that before the experiment,the difference was statistically significant(P<0.01);After treatment,the score of the observation group was statistically significant compared with the control group(P<0.01).Comparison of the efficacy of TCM syndromes:After treatment,the total effective rates of the observation group and the control group were 93%and 36%,respectively.According to the rank sum test,there was a significant difference in the efficacy of TCM syndromes between the two groups after treatment(P<0.01).The observation group can obviously improve the TCM syndrome.Conclusion:1.Epiglottis Zhuyu decoction can improve the TCM syndromic manifestations of patients with dysphagia dysfunction after blood stasis apoplexy and improve the score of blood stasis syndrome.2.Epiglottis Zhuyu decoction can effectively improve the clinical symptoms of patients with dysphagia dysfunction after blood stasis apoplexy and improve their swallowing function.3.Epiglottis Zhuyu Decoction in the treatment of swallowing dysfunction after blood stasis apoplexy has a significant effect on improving patients’ living ability and reducing neurological defects.