Observation On The Curative Effect Of Eye Acupuncture And Needle Rehabilitation Therapy On Swallowing Dysfunction After Stroke

Purpose:To compare the curative effect of rehabilitation therapy with simple rehabilitation training on dysphagia after stroke.Materials and methods:Patients with dysphagia after stroke who visited the department of brain K2 in liaoning rehabilitation center of traditional Chinese medicine from June 2018 to June 2019 were selected.A total of 63 patients were screened out,and the 63 patients were divided into two groups according to the sequence of visit by the random number table method,and then entered into the experimental group and the control group respectively.During the experiment,because the patients were unwilling to cooperate with the treatment,the curative effect of 60 patients with dysphagia after stroke was finally observed,that is,30 patients in the experimental group and 30 patients in the control group.In the experimental group,there were 24 males and 6 females,with an average age of 59.93 years,including 28 patients with cerebral infarction and 2 patients with cerebral hemorrhage,with an average course of 40.77 days.In the control group,there were 26 males and 4females,with an average age of 62.43 years.Among them,there were 27 patients with cerebral infarction and 3 patients with cerebral hemorrhage,with an average course of disease of 39.13 days.All patients were given symptomatic basic therapy such as anti-platelet aggregation,lipid lowering,blood pressure lowering and glucose lowering.The control group received simple rehabilitation training(including swallowing posture,tongue exercises,ice cotton stick stimulation,swallowing on glottis and masticatory muscle training)on the basis of basic treatment.In the experimental group,on the basis of basic treatment,the eye needle with needle rehabilitation therapy;Eye needle point selection bilateral upper jiao,liver,heart,spleen,kidney area.Rehabilitation training was carried out during needle retention(the specific items were the same as the control group),and rehabilitation training was carried out for 45 min during needle retention.Both groups were treated once a day,five times a week,for a total of two weeks.There were no significant differences in gender,age,course of disease,type of stroke,drinking water test and score of ichiro fujijima between the experimental group and the control group before treatment.The swallowing function of the two groups was evaluated by the ratings of swatan drinking water test and the score of ichiro fujijima before and after treatment.The recovery of the swallowing function of the two groups was observed and the clinical efficacy was evaluated.The statistics software used SPSS17.0 version.Results:1.Comparison of sex,age,course of disease and type of stroke between the experimental group and the control group before treatment was conducted at P > 0.05,showing no statistical difference and comparable.2.Trial rating of drinking water in bottomland:It can be concluded from table 2.1that before treatment,P> 0.05 was compared between the experimental group and the control group with no statistical significance,indicating that the two groups were comparable.The comparison between the experimental group and the control group before and after treatment was P<0.01.The difference was statistically significant,indicating that both of the two treatment methods were effective for the treatment of dysphagia after stroke.After treatment,there was a significant difference between the experimental group and the control group(P<0.01),indicating that the effect of treatment of dysphagia after stroke in the experimental group was better than that in the control group.3.Ichiro fujijima score:According to table 2.2,P >0.05 was compared between the experimental group and the control group before treatment,and the difference was not statistically significant,indicating that the two groups were comparable.The self-comparison before and after treatment in the experimental group was P<0.01,and the comparison before and after treatment in the control group was P<0.01.The difference was statistically significant,indicating that the treatment methods in the two groups were effective for the treatment of dysphagia after stroke.After treatment,there was a significant difference between the experimental group and the control group P<0.01,indicating that the effect of treatment of dysphagia after stroke in the experimental group was better than that in the control group.4.Comparison of clinical efficacy:According to table 2.3,the total effective rate of the experimental group was 86.7%,which was significantly higher than that of the control group56.7%.After treatment,the clinical efficacy of the experimental group was compared with that of the control group P < 0.05,indicating that the efficacy of the experimental group in treating dysphagia after stroke was better than that of the control group.Conclusion:1.Both eye and belt acupuncture rehabilitation therapy and simple rehabilitation training therapy are effective in the treatment of dysphagia after stroke.2.The therapeutic effect of rehabilitation therapy with eye needle and belt needle is better than simple rehabilitation training therapy in treating dysphagia after stroke.3.No abnormalities were found in the patients in the eye acupuncture group after treatment,indicating that the therapy is safe and reliable.4.Eye acupuncture is cheap and effective,easy to operate and safe without side effects.Combined with rehabilitation training,it can play a synergistic role and improve the clinical efficacy.