Intervention Study Hemorheology And TCD In Patients Phlegm And Blood Stasis Type With Dysphagia Of Pseudobulbar Paralysis After Cerebral Stroke With"pharynx Four Needle Acupuncture

Objective To observe the effects and Changes of Hemorheology、TCD,and the relations between effects and Changes,in patients who were diagnosed with of Phlegm and blood stasis types of cerebral infarction,with “Pharynx four Needle Acupuncture Point ",Through randomized controlled clinical study。Further toexplore the Mechanism of action of “Pharynx four Needle Acupuncture Point" in patients with Dysphagia of Pseudobulbar Paralysis after Cerebral infarction,and to Provide a new treatment for the treatment of pseud obulbar palsy after cerebral infarction。Methods60 patients diagnosed with Phlegm and blood stasis types of cerebral infarction were randomized to treatment group(n=30), and the control group(n=30), Both groups were treated with conventional western medicine and same Acupuncture 。 the treatment group was treated with the "Pharynx four acupuncture needle" 、Zhi-qiang etc,the control group was treated with Jin-jin Yu-ye etc. routine western medicine. Acupuncture treatment was taken 1 time every 24 h,6 times as a course, they were treanted after 72 hours as the next course,a total of as long as 4 courses include.The swallowing function classification and examination of TCD and henorheology before and after the course of treatment.Results: The treatment group Watian drinking water test clinical effect. The total efficiency was significantly better than the control group; After the statistics, there was significant differences between the treatment group and and there was great difference between control group before and after treatment(P<0.01)in Hemorheology indexes,The treatment group was statistically significant(P<0.05)before treatment and after treatment; Comparing the difference wassignificant differences between control group after treatment and treantment group after treatment was significant differences(P<0.01)in Vm of Anterior cerebral artery(ACA)、Middle cerebral artery(MCA)、Posterior cerebral artery(PCA)、Basilar artery(BA)、Vertebral artery(VA)and Pulsation index(PI) of BV、VA,But Comparing the difference was not significant(P>0.05)after Both groups treatment.ConclusionThe symptom was improved markedly with "Pharynx four needle" point in patients who were diagnosed with of Phlegm and blood stasis types of cerebral infarction. This one of Mechanism of action of “Pharynx four Needle Acupuncture Point" is maximum possibly downregulation of blood viscosity and fibrinogen in patients with Dysphagia of Pseudobulbar Paralysis after Cerebral infarction,The pinprick can improve the brain obviously in the blood supply of artery,improvement the cerebral infarction, To achieve the purpose of treatment. Through this topic research It is concluded that the method is scientific, rationality. Key Words...