Clinical Study Of The Scalp Body Acupuncture Combined With Swallowing Rehabilitation Training Of The Dysphagia After Stroke

ObjectiveThrough randomized controlled method,to contrast the differences in efficacy of scalp body acupuncture combined with swallowing training and simple swallowing training in the treatment of dysphagia after stroke,and to make a scientific and objective evaluation,in order to explore a more effectively way to treat this disease,so as to provide clinical basis for its clinical application.MethodsThis study is a randomized controlled trial of the scalp body acupuncture combined with swallowing training and simple swallowing training.Sixty patients have been selected according to inclusion criteria of this study were randomly divided into treatment group and control group,with 30 cases in each group.Both groups have carried out routine treatment.In the treatment group,the scalp body acupuncture was used to combine the method of swallowing rehabilitation training.1.Scalp acupuncture points selection: Anterior oblique line of vertex-temporal 2/5,Temporal three needles,Baihui and Shenting.2.Body acupuncture points selection: Tongue three needles,Jin jin,Yuye,and Tongli,Hegu,Taichong,Yifeng and Zhaohai.According to the change of the condition,follow up and subtract.The technique of acupuncture using leveling and purging.3.In terms of swallowing rehabilitation training,according to the patient's swallowing condition,the appropriate training program is selected: direct training is given to patients with mild swallowing disorders,and indirect training is given to patients with moderate and severe swallowing disorders.The control group was received simple swallowing rehabilitation training.The two groups of patients were treated once a day,5 times a week for 4 weeks.The evaluation of clinical efficacy was based on the Kubota water swallowing test and Fujishima Ichiro swallowing response evaluation criteria.Functional assessment was performed at three time points: before treatment,after 2 weeks and 4 weeks.Collect data and use SPSS21.0 for statistical analysis,and compare the differences between the two groups.Results1.Baseline data: Compared the basic information including the age,gender,course of disease,the type of disease and the swallowing capacity before treatment between experimental group and control group,the results shows that there were no statistically significant differences between the two groups(P?0.05),suggesting that the two groups were equal and comparable before treatment.2.Clinical curative effects:(1)The comparison between the two groups showed that the evaluation criteria of Kubota water swallowing test and Fujishima Ichiro swallowing response evaluation criteria improved compared with that before the treatment,and the difference was statistically significant.After 4 weeks of treatment,it was further improved after 2 weeks,and the difference was statistically significant.The results showed that the two schemes improved the swallowing function of the patients,and the curative effect was continuous within 4 weeks,and the swallowing function of the patients was gradually improved.(2)Comparison between groups: after 2 weeks of treatment,the evaluation criteria of Kubota water swallowing test and Fujishima Ichiro swallowing response evaluation criteria were improved,and the difference between groups was statistically significant.After 4 weeks of treatment,the difference between the groups was statistically significant,indicating that the swallowing ability of both groups improved,but the improvement of the experimental group was significantly better than that of the control group.(3)Comparison of curative effect:In the experimental group,5 cases were cured,20 cases were effective and 5 cases were ineffective,the total effective rate was 83.3%.In the control group,1 case was cured,17 cases were effective and 12 cases were ineffective,the total effective rate was 60%.There were significant differences between the two groups(P?0.05).ConclusionBoth scalp body acupuncture combined with swallowing rehabilitation training and simple swallowing training are effective to treat dysphagia after stroke.While,experimental group is better than the control group.Scalp body acupuncture combined with swallowing rehabilitation training is efficient,simple and safe,which is worth popularizing and applying.