Pseudobulbar Palsy After Stroke. Acupuncture Combined With Rehabilitation Standardized Program The Baep Impact Clinical Research

Object:This topic through early modern medical record, journal of ancient literature and expert consultation three aspect comprehensive evaluation sort out standardized plan to recover by observing the combination of acupuncture standardized pseudobulbar paralysis after stroke patients difficulty swallowing, dysarthria and brainstem auditory evoked potential brainstem auditory evoked potentials (BAEP), the influence of the study of standardization, discussed whether the pseudobulbar paralysis after stroke dysphagia and dysarthria may return to action.Method:Any matches the research conditional of merger with pseudobulbar paralysis patients, carry on the set in cent according Standardized plan group (treatment group) and blind method, each 42, carry on a treatment in front and back sufferer's body function, Patients swallowing function and dysarthria recovery degree score,in front and back of the treatment brainstem auditory evoked potential contrast is determined.Result:1.After therapy, two groups of patients swallowing function have different degrees of improvement, grade 3 above share improved, with before treatment are significantly sex than differences (P< 0.05), but the two groups category 3 above share after treatment was not statistically significant (P> 0.05), two groups of patients treated swallowing function total effectiveness are improved, but no statistically significant difference between the two groups of comparisons (P> 0.05).2. The dysarthria table respective:treatment group except static breath before and after treatment, all other breakdown outside greup and extremely significant (P< 0.05, 0.01), the control group before and after treatment, still breathing, words salivate breathing, dormant when jaws position, the soft palate, tongue campaign raised up, speech session, speech speed and before treatment with no difference, the rest before treatment of significant difference were compared with extremely significant (P< 0.05,0.01), in treatment group were superior to the above dimensions of control group (P< 0.05,0.01), the overall efficacy in treatment group than in control group, have extremely significant difference (P< 0.01).3. Two groupsⅠ, after receiving treatmentⅢ,Ⅴwave abnormal rate is lower, integrated PL than with before treatment greup and extremely significant (P< 0.05,0.01); Acupuncture treatment groupⅠ-afterⅢadjustableⅢ-Ⅴ,Ⅰ, betweenⅤpeak-Ⅲ,Ⅴwave incubation period and with before treatment, overall anomalies have extremely significant than differences (P< 0.01). After treatmentⅠadjustable controlⅢ,Ⅲ-Ⅴ-Ⅰ-Ⅴpeak, betweenⅢ,Ⅴwave incubation period and the overall abnormalities, and treatment than before greup (P< 0.05), but the treatment group was better than above wave abnormal adjust overall control group (P< 0.05).Conclusion:1. The standardized treatment can promote pseudobulbar paralysis after stroke patients swallowing function recovery with traditional treatments, but between effect quite.2. The standardized treatment after treatment for dysarthria overall recovery efficacy is superior to the traditional treatments for static respiration, but not significant, but the traditional treatments to salivate, still breathing, speech breathing, dormant when jaws position, the soft palate, tongue campaign raised up, speech session, speech speed does not play a significant role.3. BAEP responses from the brainstem electric physiology function condition, standardized treatment can effectively shorten more BAEP pseudobulbar paralysis patients between each wave incubation period and peak recreate and improve the incubation period, amplitude, is probably the wave to improve the swallowing the mechanism of the symptom such as one of improvement.