| BackgroundDysphagia is one of the common complications of stroke. Dysphagia correlates with high death and disability rate, while it can independently effect death rate. It is easy for Dysphagia to cause aspiration pneumonia and malnutrition, which seriously impacts on the overall recovery time of patients. This paper systematically reviewed the Chinese and western literature on ancient etiology, Pathogenesis and treatment of Dysphagia, and summed up the research Progress of them in recent years. Combining with the actual acupuncture clinical research in China and designing a scientific experiment, which was that for the first time combining with body acupuncture, electro-acupuncuure and pricking to cause bleeding treat Dysphagia after stroke.This patients suffering from dysphagia after stroke came from the sub project held by Beijing science and Technology Commission in2010, which was "The research on acupuncture treatment technology of dysphagia after stroke" in the project of "The research on two standard traditional Chinese medicine treatment of brain stroke".ObjectiveThis article aims to observe the clinical effect of acupuncture in treating the patients who were suffering from dysphagia after stroke, through which we can give evidence of Evidence-based medicine for further popularization and application.MethodIn this study, the randomized protocol produced by SAS statistical software was used. The128cases of dysphagia after stroke were randomized into64cases in treatment group and64cases in contrast group. Based on conventional medical foundation treatment. the treatment group was given comprehensive acupuncture treatment(body acupuncture, eletro-acupuncture,prick to cause bleeding)combined with swallowing rehabilitation training, while the contrast group was only given swallowing rehabilitation training.Thcy were treated once in every other day,3times a week,2weeks for one reatment course.The patients were assessed with water-swallowing test after14days、28days、42days and60days on the treatment,which were the effective evaluation point. After the end of treatment for3months, the patients were followed up to carry on the curative effect appraisal. We applied Access software to establish a database and imported the data into SPSS for related statistical analysis.ResultsIn addition to4cases for the removal and expulsion, it eventually included in the statistical analysis of124cases of patients. The treatment group included54cases of cerebral infarction and8cases of cerebral hemorrhage,39cases of male patients and23cases of female patients. The youngest in the treatment group was42years old, and the oldest was80 years. The shortest duration of dysphagia after stroke was2days, and the longest disease duration was156days. In the control group,there included57cases of cerebral infarction and5cases of cerebral hemorrhage,46cases of male patients and16cases of female patients. The youngest in the control group was40years old, and the oldest was80years. The shortest disease duration was1days, and the longest was84days.To compare the base line conditions:by analyzing statistically the subjects’ baseline including gender, age, disease duration, type of stroke, water-swallowing test before the treatment, we found the results showed that the difference between the two groups was not statistically significant (P>0.05).Based on a comprehensive analysis of two groups of baseline, they were balanced and comparable.To compare the total therapeutic effect:The results showed that the clinical efficiency of both treatment group and contrast group in treating dysphagia after stroke had significant effect. The total effective rates are93.5%and88.7%. It indicated that the total effective rate of the treatment group is superior to that of the contrast group (P<0.05).For the patients with mild dysphagia, there was significant difference between two groups (P<0.05). In respect of prognosis, there was not significant difference between two groups (P>0.05).ConclusionIt is effective for swallowing rehabilitation training to treat dysphagia after stroke.To compare with the only swallowing rehabilitation training, acupuncture combined with swallowing rehabilitation training have a better effect and a higher total effective rate.In terms of patients with mild dysphagia, comprehensive acupuncture treatment is better than that only use swallowing rehabilitation training.The comprehensive acupuncture treatment is suitable for further popularization and application for significantly improve the swallowing function of the patients and safe operation. |
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