Clinical Study On A Specific Group Of Acupoints Acupuncture Combined With Rehabilitation Training In The Treatment Of Pharyngeal Dysphagia After Stroke

Objective: by comparing the difference in clinical efficacy between acupuncture at the specific group of acupoints combined with rehabilitation training and rehabilitation training alone in patients with the post-stroke pharyngeal dysphagia,we explore and excavate the synergistic effect and advantages about the combined traditional Chinese and western medicine in the treatment of dysphagia after stroke,so as to further broaden the clinical diagnosis and treatment ideas of the disease.Method: 80 patients with the post-stroke pharyngeal dysphagia who accorded with the inclusion and exclusion criteria were randomly divided into the treatment group(n=40 cases)and the control group(n=40 cases)by computer.All patients admitted to hospital were given secondary preventive treatment and basic treatment for apoplexy.In addition,the control group was given swallowing rehabilitation training,including sensory promotion method,Masako training,Mendelsohn training,vocal cord pronunciation training,supraglottic swallowing method,catheter balloon dilation technique and treatment of swallowing neuromuscular electrical stimulation;the treatment group was given acupuncture treatment at specific group of acupoints on the based of rehabilitation training in the control group.The selected acupoints were Lianquan,Jialianquan(double),Tianrong(double),and Jingjiaji1-6(double),once a day,six times a week,for a total of 4 weeks.Observe and record the changes of evaluation indexes such as videofluoroscopic dysphagia scale score(VDS),pharyngeal transit time(PTT),standardized swallowing assessment score(SSA),penetration aspiration scale score(PAS)before and after treatment,statistically analyze the difference of clinical treatment results between the two groups of patients,and explore and excavate the synergistic effect and advantages about the combined acupuncturing at specific group of acupoints and rehabilitation trainingin with the post-stroke pharyngeal dysphagia.To bring into play to the superiority that integrated treatment of Traditional Chinese and Western Medicine,and provide new strategies for the clinical treatment of the disease.Results:1.VDS scoreThe total VDS score of patients in both groups after treatment was markedly reduced than before treatment(P < 0.05),and the dimension of abatement in the treatment group was evidently heavier than the control group(P < 0.05).The results reflectd that the intervention measures of the two groups of patients could improve the swallowing start speed,pharyngeal residue,and aspiration’s degree of patients.And the therapeutic effect of the treatment group was more outstanding.2.Pharyngeal transit timeThe pharyngeal transit time of patients in both groups treatment was obviously shorter than that before treatment(P < 0.05),and the dimension of shortening in the treatment group was evidently heavier than the control group(P < 0.05).The results reflectd that the intervention measures of the two groups of patients could shorten the swallowing time and improve the swallowing efficiency.And the therapeutic effect of the treatment group sensibly surpassed f the control group.3.SSA scoreThe total score of SSA in both groups after treatment was markedly reduced than that before treatment(P<0.05),and the dimension of abatement in the treatment group was evidently heavier than the control group(P < 0.05).The results reflectd that the intervention measures of the two groups of patients could ameliorate the deglutitory ability of the patients with pharyngeal dysphagia in the stage.And the therapeutic effect of the treatment group was better.4.Penetration/aspiration scale scoreThe score of penetration/aspiration scale scale in both groups after treatment was markedly reduced than that before treatment(P<0.05),and the dimension of abatement in the treatment group was evidently heavier than the control group(P < 0.05).The results reflectd that the intervention measures of the two groups of patients could improve the condition of penetration and aspiration in patients with the post-stroke pharyngeal dysphagia during swallowing.And the therapeutic effect of the treatment group sensibly surpassed f the control group.Conclusion:Both treatment methods about acupuncture at the specific group of acupoints combined with rehabilitation training and rehabilitation training alone in patients with the post-stroke pharyngeal dysphagia could improve the swallowing starting speed,pharyngeal residue and aspiration degree,shorten the pharyngeal transit time during swallowing,improve the swallowing efficiency,reduce the degree of penetration and aspiration during swallowing,and improve the swallowing function.Moreover,the combination of acupuncture at specific points and rehabilitation training can significantly increase the curative effect which compared with rehabilitation training alone.