| Objective: By comparing the swallowing function and daily life ability of patients before and after the treatment,to observe the clinical effect of needling “three-Lianquan” combined with VitalStim swallow treatment apparatus in the treatment of dysphagia after stroke in patients with pseudobulbar palsy,hoping to alleviate the symptoms and improve the quality of life for patients,and provide reference for clinical treatment.Methods: Sixty patients with dysphagia after pseudobulbar palsy were selected from the First Affiliated Hospital of Heilongjiang University of Chinese medicine.With thirty cases in each group,the patients were divided into two groups according to random number table : the treatment group(three-Lianquan group)and the control group(ordinary acupuncture group).In the treatment group,“three-Lianquan”(Qian Lianquan,Zheng Lianquan and Shang Lianquan)were selected for acupuncture,with VitalStim and treatment apparatus was used for treatment;in the control group,acupoints were selected:Lianquan,Fengchi,Wangu,Tongli,Zhaohai,Hegu and Taichong;the basic treatment of the two groups was the same methods,acupoints were selected : Neiguan,Shuigou,Sanyinjiao,Jiquan,Chize and Weizhong,with acupoints increased and decreased with symptoms,and acupoints were selected dialectically.Two groups are six days for a course of treatment,and the treatment time of VitalStim swallow treatment apparatus was thirty minutes a day in the treatment group.Rest one day after a course of treatment.After three courses,all the date were analyzed to evaluate the clinical efficacy of the two groups.The drinking water test classification,the Standardized Swallowing Assessment(SSA)and the Activity of Daily Living(ADL)scale(Barthel inde SSA)were used to evaluate the improvement of swallowing function before and after treatment in the treatment group and the control group.Results:1.The classification of drinking water test : the improvement of swallowingfunction of the two groups were significantly improved compared with that before treatment,and difference was statistically significant(P<0.05),by rank sum test analysis;there was statistically significant difference between the two groups(P<0.05).2.The standard swallowing function assessment scale(SSA)score : the improvement of the standard swallowing function assessment scale(SSA)score after treatment of two groups were decreased apparently(P<0.05),by independent t-test analysis;and score in the treatment group was obvious decline(P<0.05).3.The Activity of Daily Living(ADL): the improvement of the Activity of Daily Living(ADL)score after treatment of two groups were increased apparently(P<0.05),by independent t-test analysis;and score in the treatment group was obvious improvement(P<0.05).4.The clinical efficacy of the two groups were compared: after three courses of treatment,the effective rate of the treatment group was 93.33%,and that of the control group was 76.67%.By the rank sum test,comparing with the total treatment effective of the two groups,there exist distinct difference(P<0.05).Conclusions:1.Needling “three-Lianquan” combined with VitalStim swallow treatment apparatusis better than the ordinary acupuncture group in the treatment of dysphagia after stroke in patients with pseudobulbar palsy.2.Needling “three-Lianquan” combined with VitalStim swallow treatment apparatusis can significantly improve the swallowing function of after stroke in patients with pseudobulbar palsy. |
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