Clinical Observation Of Swallowing Five Points In The Treatment Of Dysphagia Of Pseudobulbar Paralysis After Cerebral Apoplexy

Objective:To observe the clinical effect of swallowing five points in the treatment of dysphagia of pseudobulbar paralysis after cerebral apoplexy.Methods:Sixty patients with dysphagia after stroke with pseudobulbar paralysis were randomly divided into two groups,30 in the treatment group and 30 in the control group.On the basis of basic treatment,the treatment group was treated with five points of Yan,and the control group was treated with three needles of Lianquan.Patients in both groups were treated once a day,Continuous treatment for 6 days and rest for 1 day,6 times as a complete course of treatment,and a total of 2 courses of treatment were given.Before treatment and after 2 courses of treatment,the swallowing water test(Video Fluoroscopic Swallowing Study,WST),standard swallowing function assessment(Standardized Swallowing Assessment,SSA)and swallowing disorder specific quality of life scale(Swallowing Quality Of Life,SWAL-QOL)were used to evaluate the improvement of swallowing function and quality of life of patients in 2 groups.Result:1.After treatment,WST and SSA ratings and scores in 2 groups were significantly improved compared with those before treatment(P < 0.05),and the improvement degree in the treatment group was better than that in the control group(P < 0.05).2.The total SWAL-QOL scores of 2 groups were significantly improved after treatment compared with before treatment(P < 0.05),and the therapeutic effect of the treatment group was better than that of the control group(P < 0.05).After treatment,SWAL-QOL scores of 2 groups were significantly improved in all aspects of quality of life compared with before treatment(P < 0.05),and the improvement degree of eating,symptom frequency,mental health,social interaction in the treatment group was significantly better than that in the control group(P < 0.05).3.Comparison of the total effective rate between the two groups after the end of the treatment course showed that the total effective rate of the treatment group was 93.3%,and the total effective rate of the control group was 73.3%.The curative effect of the treatment group was better than that of the control group(P < 0.05).Conclusion:1.Acupuncture at Yanwuacupoint and Lianquan three-acupuncture therapy are both effective in the treatment of dysphagia of pseudobulbar paralysis after stroke,and the clinical efficacy of acupuncture at Yanwuacupoint is better than that of Lianquan three-acupuncture therapy.2.Acupuncture at Yanwuacupoint can effectively improve the swallowing function and improve the quality of life of patients with dysphagia due to pseudoobulbar paralysis after stroke,and the efficacy is better than Lianquan three-acupuncture therapy.