Clinical Observation On Treatment Of Dysphagia After Stroke By Acupuncture Of Xingnao Kaiqiao With Tongue Three Needle

Objective: This study was designed to observe and compare the clinical efficacy of two groups in the treatment of dysphagia after stroke.which the observation group was treated by Xingnao Kaiqiao acupuncture and three tongue needles,the control group with only routine acupuncture therapy.Therefore,it would provide the basis for clinic of the standardized and effective treatment to post-stroke dysphagia.Methods: Firstly select as many post-stroke dysphagia patients as possible from the January2019 to January 2020,who did visit in the acupuncture special department of the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine.Secondly,select sixty patients who are meet the standards of this trial will be randomly divided into Observation group and control group,with 30 cases in each group.During the experiment,both two groups received routine treatmenst for stroke and their basic diseases.In the observation group,on the basis of conventional treatment,the method of Xingnao Kaiqiao acupuncture with three tongue needles was added.The selected points were: Neiguan(bilateral)and Renzhong,Sanyinjiao(bilateral),Fengchi,Wangu,Yifeng,three tongue needles.The selected points of the control group were:Fengchi,Neiguan(bilateral),Shuigou,Tongli,Jinjin,Yuye.The two groups of patients were treated with acupuncture 1 times a day for 6 days,1 days of rest and 7 days as a course of treatment,with a total of three courses of treatment.Finally,all datas about symptoms scores should be evaluated,recorded and analyzed in trial,including Water Swallowing Test(WST),Evaluation of swallowing efficacy of Ichiro Fujima,Standardized Swallowing Assessment(SSA).And observe the difference of curative effect between the two groups before and after treatment.Results:In this study,three was no shedding during treatment,and total of 60 caces wereeventually completed.The search results are as follows:1.By statistical analysis of gender,age,drinking water test in the depression before treatment,deglutition efficacy evaluation and SSA score between the two groups,the differences between the two groups were not statistically significant(P > 0.05).2.After treatment,the experimental group was cured in 5 cases,markedly effective in 16 cases,effective in 7 cases,invalid in 2 cases,detached in 0 cases,and the total effective rate was 93.3%;the control group was cured in 2 case,markedly effective in 9 cases,effective in14 cases,and invalid 5 In the case of 0 cases of shedding,the total effective rate was 83.3%.The deglutition function of the two groups was significantly improved compared with that before treatment.The results were compared by rank sum test,P=0.012<0.05,so the differences were statistically significant,and the observation group was better than the control group.3.After treatment,the score of WST was compared between the two groups,Both groups were compared before and after treatment.By the rank sum test,P=0.000<0.01.The results show that the two groups can improve the swallowing function of patients after stroke.By the rank sum test,P=0.012<0.05,and the effect of the observation group is obviously better than that of the control group.4.After treatment,the deglutition efficacy evaluation of Ichiro Fujima was compared between the two groups,Both groups were compared before and after treatment.By check t paired samples,P=0.000<0.01.The results show that the two groups can improve the swallowing function of patients after stroke.By independent samples t test,P=0.026<0.05,and the effect of the observation group is obviously better than that of the control group.5.After treatment,the score of SSA was compared between the two groups,Both groups were compared before and after treatment.By check t paired samples,P=0.000<0.01.The results show that the two groups can improve the swallowing function of patients after stroke.By independent samples t test,P=0.015<0.05,and the effect of the observation group is obviously better than that of the control group.Conclusions:The Xingnao Kaiqiao acupuncture combined with tongue three acupuncture therapy and traditional acupuncture method have obvious curative effect on all symptoms of dysphagia after stroke,which can improve the swallowing function of patients after stroke,and the effect of Xingnao Kaiqiao acupuncture combined with tongue three acupuncture treatment is obviously better than that of traditional acupuncture.This methods has ideal effect and is of great significance to improve the quality of life of patients,and is worthy of further clinical research and popularization and application.