| Objective: To explore the TCM syndrome characteristics of dysphagia after stroke,to observe the clinical efficacy of acupuncture based comprehensive treatment of dysphagia after stroke,and to explore the efficacy of acupuncture on patients with different stages of swallowing and different TCM syndrome types.Methods: 60 patients with dysphagia after stroke were randomly divided into observation group and control group,30 cases in each group.At the same time,we collected the four diagnostic data of traditional Chinese medicine(TCM)and related physical and chemical data,and analyzed the stages of dysphagia and TCM syndromes.The control group was treated with simple rehabilitation training intervention on the basis of conventional medical treatment,and the observation group was treated with scalp acupuncture and body acupuncture on the basis of this.The two groups were treated once a day for 6 consecutive days,with a rest of 1 day,a course of treatment every week.After 4 courses of treatment,the clinical efficacy was counted.Gugging swallowing screen(guss)and evaluation of water swallowing test(evaluation of water swallowing)were used before and after treatment To evaluate the improvement of swallowing function of patients,Excel software was used to input and sort out the data,spss21.0 statistical software was used to analyze the data,and according to the statistical results,the curative effect of acupuncture on patients with different swallowing stages and TCM syndrome types was explored and analyzed.result:(1)Baseline study: there was no significant difference in age,gender,course of disease,stroke type between the observation group and the control group(P > 0.05).(2)Statistical results of TCM syndromes: in this study,the proportion of TCM syndromes from high to low is: wind phlegm resistance winding syndrome >Qi deficiency and blood stasis syndrome >Yin-deficiency and wind generating syndrome> heat-phlegm and sthenic-fu syndrome>hyperactivity of liver Yang syndrome.(3)Efficacy study: all 60 patients completed the treatment.After 4 courses of treatment,the scores of Wadian drinking water test and guss of the two groups were improved compared with those before treatment(P < 0.05),and the improvement degree of the observation group was better than that of the control group(P < 0.05).It is suggested that the observation group is better than the control group in improving the swallowing function.(4)The total effective rate of the observation group and the control group was93.3% and 70.0%,respectively.The difference was significant between the two groups(P < 0.05),suggesting that the total effective rate of the observation group was significantly better than that of the control group.(5)Clinical effect of swallowing stage: the difference of the curative effect between the observation group and the control group in the pharyngeal and oral stage was not statistically significant(P > 0.05);the difference between the observation group and the control group was not statistically significant(P > 0.05).The difference between the observation group and the control group was statistically significant(P < 0.05).The results suggest that the combined acupuncture and rehabilitation therapy are better than the rehabilitation training.(6)The clinical effect of TCM Syndrome Type: the observation group wind phlegm resistance winding syndrome,Qi deficiency and blood stasis syndrome,Yin-deficiency and wind generating syndrome,heat-phlegm and sthenic-fu syndrome,hyperactivity of liver Yang syndrome five kinds of syndrome type curative effect comparison,the difference between different TCM syndrome types is not statistically significant(P > 0.05);the control group wind phlegm resistance winding syndrome,Qi deficiency and blood stasis syndrome,Yin-deficiency and wind generating syndrome,heat-phlegm and sthenic-fu syndrome,hyperactivity of liver Yang syndrome of the five types of curative effect of two two ratios The difference of the therapeutic effect between the observation group and the control group was not statistically significant(P > 0.05),suggesting that there was no significant difference in the efficacy of different TCM syndromes.Conclusion: Dysphagia after stroke can be seen in a variety of TCM syndromes,The deglutition disorder after stroke is the most common syndrome of wind phlegm resistance winding,the syndrome of Qi deficiency and blood stasis;The comprehensive treatment method of scalp acupuncture and body acupuncture combined with rehabilitation has better clinical effect than simple rehabilitation treatment,especially for patients with dysphagia after stroke. |
PDF Full Text Request