A Clinical Study Of Pharynx Pricking With Fire-needle On Dysarthria Caused By Pseudobulbar Paralysis After Stroke

ObjectiveTo evaluate the clinical efficacy of pharynx pricking with fire-needle on dysarthria caused by pseudobulbar paralysis after stroke and try to optimize the traditional Chinese medicine treatment for dysarthria caused by pseudobulbar paralysis after stroke.Methods60 patients who met inclusion criteria were recruited and randomly assigned to either the control group or the test group.Both groups were given basic treatment of stroke.The control group was given pharynx pricking with regular needle,the test group was given pharynx pricking with fire-needle.Both interventions were treated 1 time the next day,ending after a total of 10 treatments.The outcome measures include the modified Frenchary dysarthria rating scale and Kubota drinking test.All scales were assessed before and immediately after intervention.Results1.In the control group,the scores of reflex function,respiration,soft palate movement and the total score of modified Frenchary primary dysarthria rating scale showed significantly reduction after invention(P<0.05),while the scores of lip movement,jaw movement,larynx movement,tongue movement and speech function had no statistic significance after treatment(P >0.05).In the test group,The scores of each component dysarthria function and the total score of modified Frenchary primary dysarthria rating scale showed significantly reduction after invention(P<0.05).Compared with the control group,the scores of reflex function and respiration of modified Frenchary primary dysarthria rating scale in the test group showed significantly reduction after invention(P<0.05).2.Compared with the level before treatment,the grade of Kubota drinking test in both groups showed marked difference after treatment(P<0.05),while the test group showed significantly lower grades of Kubota drinking test than the control group(P <0.05).3.The total effective rate of the test group was 86.67%,and that of the control group was 60%.The clinical efficacy of the test group was better than that of the control group(P <0.05).ConclusionPharynx pricking with regular needle or fire-needle can effectively improve speech and swallowing function of patients with dysarthria caused by pseudobulbar paralysis after stroke.While pharynx pricking with fire-needle showed better clinical efficacy than regular needle.