The Clinical Therapeutic Effect On Dysphasia Caused By Apoplexy Of Qi Deficiency And Blood Stasis Syndrome Treated By Acupuncture

Objective The purpose of the study was to explore the efficiacy of treating dysphasia caused by apoplexy of qi deficiency and blood stasis syndrome,and compare the curative differences of treatments including acupuncture with swallowing rehabilitations &swallowing rehabilitations,and to provide a better clinical therapy.Method66 patients who visited acupuncture department,neurology department,and rehabilitation department in Shuguang Hospital,Tianshan Hospital,and Shuguang Hospital Baoshan Branch with dysphasia caused by apoplexy of qi deficiency and blood stasis syndrome who met the inclusion criteria were randomly divided into treatment(acupuncture and swallowing rehabilitation),and control(swallowing rehabilitation)2 groups,33 in each group.Both 2 groups received Conventional Western Medicine Treatment.The control group took swallowing rehabilitation,including Supraglottic swallow,Mendelsohn therapy,Shaker therapy,tongue muscle training,labial and buccal muscles training,oral and pharyngeal cold stimulation,and vocal cord closing training.The treatment group received swallowing rehabilitation same as the control group,and acupuncture,in which Baihui(GV 20),Fengchi(GB20),Fengfu(GV 16),Yamen(GV 15),Yifeng(SJ 17),Lianquan(CV 23),Jinjin(EX-HN 12),Yuye(EX-HN 12),and Zusanli(ST 36)were selected.Those two groups of treatment were three times a week,a total of 4 weeks treatment.The clinical therapeutic effects were evaluated four times(before,after two weeks' treatment,after four weeks' treatment,and after a one month follow-up).The clinical therapeutic effects were conducted by the Watian drinking water test,Tendou-yilan swallowing disorder evaluation test,and the grade about symptoms of TCM.Those statistical analysis was performed by SPSS 24.0 software.Results At the end of treatment,the swallowing disorder and symptoms of TCM of both 2 groups were improved(in treatment group,the Watian drinking water test,Tendou-yilan swallowing disorder evaluation test P<0.001,symptoms of TCM P=0.035;in control group,the Watian drinking water test P=0.013,Tendou-yilan swallowing disorder evaluation test P=0.001,symptoms of TCM P=0.048,P<0.05,with statistical differences).At the end of treatment,the treatment group had a better effect than the control group(the Watian drinking water test P=0.011,Tendou-yilan swallowing disorder evaluation test P<0.001,symptoms of TCM P=0.001,P<0.05,with statistical differences).After a one-month follow up,both 2 groups had no further improvement in the swallowing disorder(in treatment group,the Watian drinking water test P=0.698,Tendou-yilan swallowing disorder evaluation test P=0.793;in control group,the Watian drinking water test P=1.000,Tendou-yilan swallowing disorder evaluation test P=0.963,P>0.05,with no statistical differences).The symptoms of TCM in the treatment group had an improvement(symptoms of TCM P=0.035,P<0.05,with statistical differences),while the symptoms of TCM in the control group had no further improvement(symptoms of TCM P=1.000,P>0.05,with no statistical differences).Conclusion First,acupuncture combined with swallowing rehabilitation and only swallowing rehabilitation had clinical therapeutic effect on dysphasia caused by apoplexy of qi deficiency and blood stasis syndrome.Acupuncture combined with swallowing rehabilitation had a better effect and lasted for a month,but with no further improvement.Secondly,acupuncture combined with swallowing rehabilitation and only swallowing rehabilitation had clinical therapeutic effect on the improvement of the symptoms of TCM,and acupuncture combined with swallowing rehabilitation had a better effect.And also acupuncture combined with swallowing rehabilitation had a further improvement after a month follow-up.