RN22 Deep Needling Combined With Rehabilitation Training In The Treatment Of Clinical Obsearvation Of Dysphagia After Stroke

1ObjectiveObservation RN22 deep needling clinical efficacy with swallowing rehabilitation treatment after stroke dysphagia, provide an objective basis for clinical application.2MethodThe test is simple acupuncture combined with rehabilitation training and rehabilitation of randomized controlled trials. Select and included 60 cases of dysphagia after stroke patients meet the criteria were randomly divided into two groups of 30 patients,30 cases in the control group. Experimental group every other day RN22 deep needling once (three times a week), with swallowing rehabilitation,5 times a week; the control group only using the swallowing rehabilitation,5 times a week. Two groups of patients treated for four weeks earlier, respectively, before treatment, after two weeks, four weeks after treatment, three point rating scale were recorded, including Kubota water test, Fujishima Ichiro swallowing Response Evaluation Criteria. And adverse events recorded during the test and so on. SPSS 19.0 software for data processing. Count data using x2 test, measurement data using t test, Wilcoxon rank sum test data. P<0.05 was considered statistically significant.3Result3.1 The baseline data in the two groupsThe issue of 60 patients were enrolled. The treatment group and the control group (30 cases). Complete the test and enter the final statistical analysis of 60 cases of the experimental group and the control group (30 cases).39 males,21 females; mean age of 61.3 years, mean duration of 2.1 months, the average Kubota water test rating 4.0. Trial group 19 males and 11 females, aged 46～80 years, mean 61.52 years; duration 0.6～5.5 months, an average 2.26 months; Kubota water test level 3～5, with an average 3.9. The control group 20 males and 10 females, aged 49～77 years, mean 61.02 years; duration 0.5～5.4 months, an average 2.09 months; Kubota water test level 3～5, with an average 4.03.Experimental group and the control group of patients at enrollment showed no significant difference (P> 0.05) between sex, age, duration, severity rating of the basic data comparison group, indicating the two groups were comparable baseline data.3.2 The clinical curative effects in the two groupsAfter treatment two weeks, four weeks after the groups Kubota water test ratings and Fujishima Ichiro swallowing Evaluation Criteria score before treatment differences were statistically significant, P<0.01; 2 weeks after treatment, the two groups Patients with Kubota water test rating, Fujishima Ichiro swallowing Evaluation Criteria scores showed no significant difference, P> 0.05, two groups of patients after 4 weeks of treatment Kubota water test rating, Fujishima Ichiro swallowing Evaluation Criteria scores were There were statistically significant, P <0.05.After 4 weeks of treatment, the experimental group were cured 15 cases, effective in 11 cases,4 cases, total effective rate was 86.67%; control group,8 patients were cured, effective in 12 cases,10 cases, the total effective rate was 66.67%. There were significant differences between the two groups, Z=-2.141, P <0.05.4ConclusionRN22 deep needling with rehabilitation training and simple method of swallowing rehabilitation methods are effective treatment for stroke dysphagia.RN22 deep needling with rehabilitation treatment after stroke better than swallowing rehabilitation training, to better improve the swallowing function in patients.