| Objective:By conducting strict clinical randomized controlled trials,evaluation of head and body acupuncture combined with swallowing rehabilitation treatment of false bulbar paralysis after stroke clinical efficacy and safety of swallowing disorder and contrast observed swallowing rehabilitation training after the scalp needle retaining needle and scalp needle retaining needle when the effect of rehabilitation training on the swallowing,provide corresponding basis for future clinical application.Methods:In this study,patients with pseudo-ball paralysis dysphagia after stroke were studied.A total of 90 patients were included in the order of admission according to the random number table method.The patients were randomly divided into three groups: observation group A(30 cases),Observation group B(30 cases)and control group C(30 cases)were all treated with basic treatment after stroke in the same background.On this basis,the control group C was taken [conventional body acupuncture + swallowing rehabilitation training(body acupuncture After the treatment is completed)] program;observation group B takes [scalp acupuncture + conventional body acupuncture + swallowing rehabilitation training(head and body acupuncture treatment is done after the completion of the end)] program;observation group A takes [scalp needle + conventional body acupuncture + swallowing rehabilitation Training(only after the completion of body acupuncture treatment,scalp needle retention needle)] program.The Putian drinking water test score was used to observe the scores of the three groups of patients before treatment,2 weeks and 4 weeks after treatment in order to systematically analyze the clinical data of each group.Results:(1)the three groups of patients before treatment kubota drinking water test score,by the analysis of variance(P > 0.05),the difference is not significant,the three groups of patients before treatment kubota drinking water test scores comparable.All three groups of patients were significantly reduced after 2 weeks of treatment,2 weeks after treatment and 4 weeks after treatment(all P < 0.01).(2)the Student-Newman-Keuls method(SNK)further 4 weeks after treatment in patients with three groups compared with kubota drinking water test score before treatment for multiple comparisons between two groups,4 weeks after treatment group A and group B,group C kubota drinking water test score comparison,the difference had statistical significance(P < 0.01),the observation group compared with control group C,B difference also was statistically significant(P < 0.05),4 weeks after treatment group A and group B down more obvious compared with control group C water test score,and the observation group A water test score from B,C is the most significant the two groups.(3)the three groups of patients before treatment and after 2 weeks kubota drinking water test score comparison,observation group A score difference was statistically significant(P < 0.05),the observation group before treatment and after 2 weeks A scale comparable;There was no statistically significant difference between the observation group B and the control group C(P > 0.05),i.e.,the observation group B and the control group C were not comparable with the pre-treatment score after 2 weeks of treatment.(4)in the whole clinical observation,none of the patients participating in the trial showed any adverse acupuncture events such as airsickness and hematoma.Conclusion:(1)The treatment plan of observation group A,observation group B,and control group C can all improve the patient’s condition after 4 weeks.(2)The observation group A treatment program was significantly better than the observation group B and the control group C in terms of efficacy and improvement of drinking water cough after 4 weeks.(3)After 2 weeks of treatment,the comparison of the curative effects of the three groups showed that: Observation group A can obtain better curative effect in 2 weeks of treatment.(4)The safety of the three groups of acupuncture is Class Ⅰ. |
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