Clinical Observation On Treatment Of Dysphagia After Stroke By "Three - Tongue"

Objective:Stroke is the second disease cause of death in the world in people at age 60 or older. It seriously threats to human health and quality of life,even life safety.With the increasing number of the age 65 or older, morbidity of Stroke was increasing at a speed of 90,000 people a year. The mortality of Stroke was increasing with the increase of age. The average age of death Stroke was 72.3 years.In China,Stroke is the main cause of death,that the mortality was 20%.About 51%-73% of the Stroke patients with swallowing disorder that causing feeding difficulties and hindering the nutrition intake. And swallowing disorder may easily causes micro-aspiration that may causing pneumonia even asphyxia.So improve and treat swallowing disorder after Stroke is very important.That is also a hot spot in clinical research.Westem medicine treating this disease can be summed up in prevention of related risk factors,swallowing rehabilitation training and surgery At present stage,neither western nor Chinese medicine has no special medicine to treat this disease. The most important clinical intervention is non-druggery treatment,especially acupuncture and nerve rehabilitation.Acupuncture treatment of this disease is very diverse and common in clinical.Its therapeutic effects is distinct, reliable and affordable.This research uses latch needle to treat swallowing disorder after Stroke and puts forward "Three Parts of Latch Needle".This study Strictly follow the principle of clinical research design to discuss the mechanisms and effect of "Three Parts of Latch Needle" for providing experiences for swallowing disorder after Stroke.Methods:All cases were from China Academy of Chinese Medical Sciences Wangjing hospital’s department of acupuncture (cerebropathy) and rehabilitative.A total of 77 cases with 5 weeded out and fallen off,practical cases drawn into this study is a total of 72.72 cases were divided by random number table into treatment group and control group.Each group has 36 cases.On the basis of conventional medical treatment and body acupuncture,treatment group adopt the Three Parts of Latch Needle and control group adopt the Swallowing therapy apparatus.Two groups’patients were evaluated by water-swallow test and TengDaoYiLang standard on the same day that drawn into study,and day 7,14,21,28. The cycle is 28 days.After a cycle,two groups’cruative effect were be graded into recovery,effectivity and invalidation.the data were recorded and analyzed by SPSS.Two groups’cruative effect were be compared to conclude the result of the study.Result:①When the study evaluated only by water-swallow test,both groups began to have curative effect with no statistic difference after one week,both groups began to have significant curative effect with no statistic difference after two weeks.After three weeks,the curative effect of treatment group began to superior to the control group.②When the study evaluated only by TengDaoYiLang standard,both groups began to have curative effect with no statistic difference after two weeks.both began to have significant curative effect after three weeks,and treatment group’s effect is superior to the control group.③This study evaluated by both water-swallow test and TengDaoYiLang standard.After a period of treatment,The treatment group the total effective rate with 86.1% was higher than that of the control group with 63.9%.Two groups’curative effect have no statistical difference,x=4.741, p=0.029 (p<0.05).So,treatment group’s curative effect is better than the control group.Conclusion:On the basis of conventional medical treatment and body acupuncture,The Three Parts of Latch Needle is superior to the Swallowing therapy apparatus in the curative effect of swallowing disorder after Stroke.