| Objective: To explore the clinical efficacy and theoretical basis of Huatan Tongluo Decoction combined with acupoint electrical stimulation in the treatment of dysphagia in patients with acute ischemic stroke,and to provide objective basis for its promotion。METHODS: From January 31,2020 to January 31,2021,a total of 76 patients with dysphagia after acute ischemic stroke were enrolled in the Department of Neurology,Fuzhou second hospital affiliated to Xiamen University,They were randomly divided into control group and treatment group,38 in each group.The control group was treated with routine drug therapy for cerebrovascular diseases and rehabilitation therapy for swallowing function.The treatment group was treated with Huatan Tongluo Decoction and acupoint electrical stimulation on the basis of the control group.The course of treatment was 14 days,At the end of the treatment,t TCM syndrome score,water swallow test,Modification of Mann assessment of swallowing ability(MMASA),average amplitude of submental muscle group,maximum amplitude of submental muscle group,average amplitude of subhyoid muscle group,maximum amplitude of subhyoid muscle group and duration of swallowing were compared to evaluate the clinical efficacy。Results:1.There was no significant difference in General information between the two groups(P > 0.05).2.Scale results:2.1 TCM syndrome scores: The TCM syndrome scores of the two groups were compared within the group before and after treatment.The results showed that the TCM syndrome scores of each group were decreased after treatment compared with before,P<0.05,the difference was statistically significant.After treatment,the TCM syndrome score in the treatment group was significantly lower than that in the control group,P<0.05,the difference was statistically significant.Comparison of integral efficacy showed that 27 patients were ineffective and 11 patients were effective in the control group,13 patients were ineffective and 23 patients were effective in the treatment group.No patients were significantly effective or cured in the two groups,P< 0.05 after calculation,the difference was statistically significant.2.2 Experiment of water swallow test: The water swallow test of the two groups were compared within the group after treatment.and the results showed that the grading of water swallow test in each group was lower than before,P<0.05,the difference was statistically significant.After treatment,the difference between the two groups was statistically significant(P<0.05),suggesting that the reduction of the grading of water swallow test in the treatment group was more significant.After treatment,8 patients in the control group were ineffective,21 patients were effective,and 9 patients were significantly effective,Effective rate was78.9%;6 patients in the treatment group were ineffective,5 patients were effective,and 25 patients were significantly effective,Effective rate was83.3%,P<0.05,showed that the difference was statistically significant.2.3 Modification of Mann assessment of swallowing ability(MMASA): MMASA scores of the two groups were compared within the group before and after treatment,and the results showed that MMASA scores in each group were increased after treatment compared with before,P<0.05,the difference was statistically significant.After treatment,the MMASA score of the treatment group was significantly higher than that of the control group(P<0.05),and the difference was statistically significant.3.Surface EMG results3.1 Average amplitude of submental muscle group: The mean amplitude of submental muscle group of the two groups were compared within the group before and after treatment,and the results showed that the mean amplitude of submental muscle group in each group was increased after treatment compared with before,P<0.05,the difference was statistically significant.After treatment,the mean amplitude of submental muscle group in the treatment group was significantly higher than that in the control group(P<0.05),and the difference was statistically significant.3.2 Maximum amplitude of submental muscle group: The maximum amplitude of submental muscle group of the two groups were compared within the group before and after treatment,and the results showed that the maximum amplitude of submental muscle group in each group was increased after treatment compared with before,P<0.05,the difference was statistically significant.After treatment,the maximum amplitude of submental muscle group in the treatment group was significantly higher than that in the control group(P<0.05),and the difference was statistically significant.3.3 Average amplitude of subhyoid muscle group: The mean amplitude of the subhyoid muscle group of the two groups were compared within the group before and after treatment,The results showed that the mean amplitude of the subhyoid muscle group in each group was higher than before,P<0.05,the difference was statistically significant.After treatment,the mean amplitude of subhyoid muscle group in the treatment group was significantly higher than that in the control group(P<0.05),and the difference was statistically significant.3.4 Maximum amplitude of subhyoid muscle group: The intra-group comparison of the maximum amplitude of the subhyoid muscle group before and after treatment in the two groups indicated that the maximum amplitude of the subhyoid muscle group in each group after treatment was higher than that before treatment(P<0.05),and the difference was statistically significant.After treatment,the maximum amplitude of subhyoid muscle group in the treatment group was significantly higher than that in the control group(P<0.05),and the difference was statistically significant.3.5 Duration of swallowing: The duration of swallowing before and after treatment was compared between the two groups,and the results showed that duration of swallowing in each group after treatment was shorter than before,P<0.05,the difference was statistically significant.After treatment,the duration of swallowing in the treatment group was significantly reduced compared with the control group(P<0.05),and the difference was statistically significant.Conclusion:1.Western medicine combined with rehabilitation treatment and Huatan Tongluo Decoction combined with acupoint electrical stimulation therapy and western medicine and rehabilitation treatment can improve the swallowing function of patients with dysphagia after stroke.Both treatments can reduce the TCM syndrome score,reduce the experimental classification of water swallow test,improve the score of Modification of Mann assessment of swallowing ability,improve the electromyographic amplitude of submental muscle group and subhyoid muscle group,and reduce the swallowing time.2.Huatan Tongluo Decoction combined with acupoint electrical stimulation therapy and western medicine and rehabilitation treatment has better effect on the improvement of swallowing function in patients with dysphagia after stroke than western medicine combined with rehabilitation treatment. |
PDF Full Text Request