| Purpose:Observe the clinical efficacy of eye acupuncture and needle rehabilitation for the treatment of dysphagia after stroke,and compare the difference between the curative effect of the current clinical treatment methods and the current common clinical treatment methods to improve the swallowing function of stroke patients.Clinical data and methods: A total of 60 patients were enrolled in the second department of encephalopathy in the Rehabilitation Center,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January 2019 to December 2019,and they were divided into a test group and a control group of 30 cases according to the random number table method.On the basis of conventional medicine and body acupuncture treatment in neurology,the control group received swallowing function training,and the test group received rehabilitation treatment with eye acupuncture and needles.Bilateral acupoint selection: liver area,kidney area,upper focal area,and lower focal area.The eye needle retention needle is selected from rehabilitation needles with eye needles and needles,and the needles are used to carry out swallowing function training after needle acupuncture.5 times a week,2 weeks is a course of treatment.Clinical evaluation was performed before and after treatment.In both groups,the changes in swallowing function were evaluated by the Watian drinking water test score,the Gugging swallowing function evaluation scale,and the dysphagia subscale in the neurological deficit degree scale of stroke patients.SPSS 24.0 software was used for statistical analysis of the data.Counting data was compared by chi-square(x2)test.Paired t test was used before and after treatment.Group t test was used for comparison between groups.The efficacy of the two groups was evaluated by rank sum test.Results:(1)(1)Baseline data: the baseline data(age,sex,course of disease,primary disease)of the two groups before entering the group were compared,the difference was not statistically significant(P> 0.05),the baseline conditions of the two groups were not significantly different,with Comparability.Before treatment,the Watian drinking water test score,the Gugging swallowing function evaluation scale,and the dysphagia subscale in the neurological deficit score scale of stroke patients were compared,and the difference was not statistically significant(P> 0.05),indicating the pre-treatment test The disease conditions of the group and the control group are comparable.(2)(2)Watian drinking water test: the two groups compared the scores before and after treatment respectively.The results showed that there was no significant difference in the scores between the two groups before treatment(P> 0.05).0.05),the difference is statistically significant,indicating that the experimental group is better than the control group in treating dysphagia after stroke.The total effective rate of the two groups was compared.The total effective rate of the test group was 86.67%,and the total effective rate of the control group was 66.67%.(3)Gugging swallowing function evaluation scale score: the two groups compared the scores before and after treatment,the results showed that there was no significant difference between the two groups before treatment(P> 0.05),after treatment,the test group compared with the control group P = 0.044(P <0.05),the difference was statistically significant,indicating that the experimental group was better than the control group in treating dysphagia after stroke.Compared with the total effective rate of the two groups,the total effective rate of the test group was 76.67%,and the total effective rate of the control group was 53.33%.The total effective rate of the test group was significantly higher than that of the control group.(4)The dysphagia subscale in the neurological deficit scoring standard for stroke patients: the two groups compared the scores before and after treatment.The results showed that the scores of the two groups before treatment were not significantly different(P> 0.05).The comparison of the control group was P = 0.049(P <0.05),the difference was statistically significant,indicating that the experimental group was better than the control group in the treatment of dysphagia after stroke.Conclusion:1.eye acupuncture with acupuncture rehabilitation therapy and conventional clinical treatment can effectively improve patients with dysphagia after stroke;2.the clinical effect of conventional clinical therapy,the curative effect of ophthalmic acupuncture rehabilitation therapy is obviously better than that of conventional clinical therapy. |
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