Fire Needling For Treatment Of Dysphagia In Pseudobulbar Paralysis Of Chronic Stroke:A Randomized Controlled Trial

Objective:The purpose of this study is to observe the clinical efficacy of fire needling for treatment of dysphagia in pseudobulbar palsy of chronic stroke(DPBPCS),furthermore,to provide a new idea and method for clinical treatment of DPBPCS,and lay the theoretical foundation for further popularizing of this therapy.Method:62 eligible subjects with DPBPCS were randomly assigned to Fire Needling(FN)group and rehabilitation training(RT)group according to 1:1.Subjects of both 2 groups were treated for 3 weeks,then they were assessed by Dysphagia Severity Rating Scale(DSRS),Modified Mann assessment of Swallow ability(MMASA)and Kubota Toshio Swallow Test(KTST)at time-point 0,3 weeks of trail.Then,complications and adverse events during the experimental process were recorded at the end of the study.Finally,the data were analyzed statistically.Result:1 The baseline of the age,sex,time from onset of stroke,BMI,NIHSS,DSRS,MMASA,KTST in FN group were consistent with the RT group(P>0.05).2 At 3th weeks,the DSRS in both two groups were decreased significantly than that at baseline(P<0.05),and DSRS in the FN group was significantly lower than that in the RT group(P<0.05).3 At 3th weeks,the MMASA in both two groups were increased significantly than that at baseline(P<0.05),and MMASA in the FN group was significantly higher than that in the RT group(P<0.05).4 At 3th weeks,the KTST in both two groups were decreased significantly than that at baseline(P<0.05),and KTST in the FN group was significantly lower than that in the RT group(P<0.05).5 At 3th,the curative effect of FN group was more optimistic than that of RT group(P<0.05).6 During the period of treatment,there was no significant difference between the two groups in the complications and adverse reactions(P>0.05).Conclusion:1 FN can significantly reduce the DSRS and decrease the severity of the dysphagia of PBPSS,and have a bigger advantage than the RT.2 FN can significantly induce the MMASA and improve the ability of food-eating swallowing of PBPSS,and have a bigger advantage than the RT.3 FN can significantly improve the KTST grade and score and improve the ability of water-drinking swallowing after the subacute stroke,and has more advantages than RT.4 FN can significantly improve the curative effect of the DPBPCS,and have a better advantage than the RT.