The Preliminary Optimization Of Acupuncture Therapeutic Regimen On Dysphagia After Cerebral Infraction

As a major serious complication of cerebral infarction, dysphagia is an important factor affecting the prognosis of patients, if not effectively addressed, it will cause aspiration pneumonia, malnutrition, dehydration, suffocation, and other complications, which increase stroke mortality and morbidity significantly. Therefore, the treatment timely and effectively and early resumption of the patient's swallowing function are important to improve patient self-care capacity and quality of life and reduce lung infection and mortality rates.Destination:For the preliminary optimization of acupuncture therapeutic regimen on dysphagia after cerebral infraction.Methods:On the impact of post-stroke dysphagia effect of acupuncture based on the multivariate analysis,the use of orthogonal design to study acupuncture time, the Commission points compatibility, needling depth, treatment of these four factors of three levels of the different combinations program on the impact of cerebral infarction in patients with dysphagia, initially to determine the best intervention timing of acupuncture, the best selection points compatibility, the best needling depth and course of treatment, and thus stroke dysphagia initially determined the optimal acupuncture treatment program. Study of Chinese Medicine Hospital in Nanjing TCM stroke unit wards in the brain and to observe the case, select the course of a cerebral infarction in 10 days,11～20 days,21～40 days, all 21 cases of patients in the basic treatment, rehabilitation and treatment standards and norms of treatment basis, then add the corresponding acupuncture intervention factors (compatibility of selected points, needling depth, treatment), to acupuncture treatment, one day each 40min, every week for 5 consecutive days, after two days of rest next course of treatment, and was observed before and after treatment, the patients were used to drinking water tests, seven assessment vine law, assessment method were assessed 10 points and made separate statistical analysis.Observe the similarities and differences between the efficacy of different treatment programs, initially to determine the best optimization program.Results:In the course of 1 to 20 days after cerebral infraction, to select items of the Ministry of points, glossopharyngeal points and the compatibility of the dialectical acupoints, using deep acupuncture and the treatment of 4 to 6 courses of dysphagia would be best to play a relatively therapeutic effect.Conclusion:The dysphagia of cerebral infraction initial preferred treatment options are: duration of a stroke to 20 days, select the items of the Ministry of points, glossopharyngeal points and the compatibility of the dialectical acupoints, using the deep acupuncture and the treatment of 4 to 6 months treatment, can be to obtain the best treatment effect relatively.