The Study Of Tonify Qi And Resolve Phlegm To Open The Orifices Combinding Electrical Stimulation Treatment On Dysphagia After Stroke

BackgroundThe incidence of stroke, high morbidity, seriously endangering the health of human life. Dysphagia's incidence rate appearing after acute stroke is 41%, within stroke chronic period is 16%, after brainstem stroke is 51%, About 71% of all stroke patients have dysphagia. dysphagia often leads to a variety of serious complications, such as human aspiration pneumonia, dehydration, malnutrition, bronchial spasm, airway obstruction and the emergence of social isolation, depression, And other negative social psychology, thus seriously affecting the patient's physical and mental health. Despite its high incidence rate, but few patients received the formal diagnosis of dysphagia, many of them with serious complications, and the staggering medical expenses. How the clinical treatment of the establishment of one or more of the programme for post-stroke patients with dysphagia really effective treatment, particularly in combining traditional Chinese and western medicine treatment, so that patients can eat normally, and use of standardized examination to evaluate and is conducive to the promotion of, China's national economy and on people's health, played a very positive impact.ObjectiveBy observing tonify qi and resolve phlegm to open the orifices combinding electrical stimulation treatment on the impact of dysphagia after stroke in order to establish an effective program of Integrative Medicine.MethodsA stratified randomized controlled study method is used. The patients meeting the standards are devided into groups according to the disease phases (oral phase, pharyngeal phase), then within each layer are divided by random finto the treatment and control groups. By programme for each treatment, patients before treatment and after treatment three weeks are respectively given the assessment of swallowing ability and VFSS inspection, according to the assessment of swallowing ability and the extent of dysphagia which according to VFSS assessment for Clinical judgement. In addition, we could record the adverse reactions in the treatment of the two groups and evaluate the safety of the two treatment methods. After the end of the treatment course, two men will enter the collected information into the computer, using software packages SPSS13.0 management and statistical analysis. The statistical methods are used Wilcoxon rank test.The results1. Cases included a total of 46 cases, that the treatment group of 23 cases and 23 cases of the control group. No cases of loss and death. In two groups before and after the treatment of the assessment of swallowing ability, oral contrast period score, pharynx period score, and score of the extent of dysphagia there were significant differences,P<0.01 (Table 10), and this study shows that the two regimens in improving swallowing dysfunction after stroke effect on both.2. Comparison of the two groups, according to the assessment of swallowing ability, the treatment group for the cure rate:13.0%, significant efficiency: 44.5%, efficiency:30.5%, non-efficiency:13.0%, and the total efficiency: 86.9%; control group cure rate:0%, significant efficiency:21.7%, efficiency: 60.9%, non-efficiency:17.4%, the total efficiency:82.6%. The Wilcoxon rank test shows P< 0.05 (Table 8)of the effect of the two groups, and this study shows that the effect of the two groups for post-stroke dysphagia treatment is difference, treatment group than the control group. The Wilcoxon rank test shows that the treatment group and control group which is after certain treatment were graded with the assessment of swallowing ability indicates differences between, P<0.05 (Table 11), simultaneously shows that the treatment group is more effective raising swallowing ability than the control groupAccording to the extent of dysphagia, the treatment group for the cure rate:13.0%, significant efficiency:0%, efficiency:74.0%, non-efficiency: 13.0%, and the total efficiency:86.9%; control group cure rate:0%, significant efficiency:0%, efficiency:78.3%, non-efficiency:21.7%, the total efficiency:78.3%. Wilcoxon rank test shows P< 0.05 (Table 9)of the effect of the two groups, and this study shows that the effect of the two groups for post-stroke dysphagia treatment is different, treatment group than the control group. The dysphagia scores of treatment group and control group before and after treatment (Including oral phase score, pharyngeal phase score, and the total phase score) are analysed by rank sum test. The result shows no difference between scores of treatment and control groups, P>0.05 (Table 11), indicating those two groups'dysphagia severity score cannot represent any difference between. Although the improving part scores of two groups showed no statistic significance, in Figure 2, Figure 3 and Figure 4 can introduce that both of the two groups are effectively treated and the treatment group summed score reaches higher, which indicating these two groups have the trend to differ.3. In the treatment process group only one case of a pinhole subcutaneous bleeding and hemorrhage occurred in electro-acupuncture group, without finding such as adverse reactions and so on in other patients.ConclusionTonify qi and resolve phlegm to open the orifices combinding electrical stimulation treatment on dysphagia after stroke is proven effectively, and better than the electrical stimulation. Course of the study shows safty and no adverse reactions, provides a safe and effective treatment of Integrative Medicine.