Clinical Study On Post-stroke Dysphagia In Different Stages Treatmented With "She Sanzhen" Combined With Rehabilitation Training

ObjectiveTo study on the clinical effect of " She Sanzhen " combined with rehabilitation training in the treatment of Post-stroke Dysphagia in the acute phase, convalescence and sequelae stage.MethodsAccording to the patients course of disease90cases collected were randomly divided into the acute phase group Three groups of patients on the basis of basic Western medicine, acupuncture therapy and rehabilitation training, Jin three-pin and three-pin "tongue". The basis of Western medicine treatment, including dehydration, blood pressure, anti-platelet aggregation, brain protection, improved circulation, control of blood glucose and symptomatic treatment. Routine acupuncture treatment for affected side of hemiplegic limb, consisting mainly of hand-foot-Yangming Meridian:the shoulder, three needles, Qu quan, hand three years, foreign relations, gu (double), Zusanli, Liang Qiu, hanging bell, Tai Chong (double). Phlegm heat Fu real plus Tianshu on Shangjuxu; wind phlegm and Hong Leong, a sea of blood; Qiyinliangxu plus according to the sea, the sea air. The Rehabilitation training includs pre-feeding training, swallowing training, eating training, diet selection training. Acupuncture "She Sanzhen" after conventional electro-acupuncture treatment. Before treatment and after2months of treatment, the records of three groups of patients with depression Tian ability to swallow score, TCM the standards swallowing functional scale (SSA), swallowing dysfunction rating scale score, dysphagia-specific quality of life score (SWAL-QOL) used for statistical analysis and evaluation of clinical efficacy. Result"She Sanzhen" combined with rehabilitation training for the different stages of the stroke dysphagia (acute phase, convalescence and sequelae of) patients, compared treatment can improve depression Tian ability to swallow score, the standard of swallowing function Rating Scale (SSA), swallowing dysfunction TCM Assessment Scale score, dysphagia-specific quality of life score (SWAL-QOL), P<0.05by statistical analysis. Between the two groups, depression Tian swallowing ability score, differences in scores for the acute phase group and the recovery group, P>0.05, no significant difference in the acute phase group, recovery group and the after-effects of group, P<0.05, the difference was statistically the significance of the acute phase group, recovery group for depression Tian swallowing ability improvement is better than the sequelae group. Standard swallowing functional scale (SSA) score, swallowing dysfunction TCM Assessment Scale score, dysphagia-specific quality of life score (SWAL-QOL), the difference between the groups P>0.05, the difference was not significant. From the analysis of clinical efficiency, the acute phase group and recovery group efficacy are better than the after-effects of group. Confirmed by the records of adverse events,"She Sanzhen" has a good and safety profile.Conclusion"She Sanzhen" combined with rehabilitation training can effectively improve the acute phase, convalescence and sequelae in patients with dysphagia to improve the quality of life of patients with dysphagia, and no side effects. In the acute stage, recovering from the clinical efficacy of early intervention is better than the sequelae.