Clinical study on the treatment of swallowing disorder after ischemic stroke with acupuncture medicine combined with routine rehabilitation
Objective To analyze the clinical effect of acupuncture medicine combined with routine rehabilitation in the treatment of swallowing disorder after ischemic stroke patients.Methods 90 patients with swallowing disorder after ischemic stroke were randomly divided into a control group and a study group,with 45 cases in each group.The control group received Buyang Huanwu decoction and routine rehabilitation treatment,and the study group received acupuncture medicine and routine rehabilitation treatment.The therapeutic effect,neurological deficit,rehabilitation time,swallowing function and quality of life of the two groups were compared.Results The total effective rate of 97.78%in the study group was higher than 84.44%in the control group(χ2=4.939,P=0.026＜0.05).The National Institutes of Health Stroke Scale(NIHSS)score of(10.34±1.01)points in the study group after treatment was lower than(14.65±1.21)points in the control group(t=18.344,P=0.000＜0.05).The time to recover swallowing function in the study group was(15.27±1.14)d,the time to eat autonomously was(27.45±2.12)d,and the time to control aspiration was(35.12±3.45)d,which were shorter than(18.46±1.20),(41.15±3.01),and(55.24±4.04)d in the control group(t=12.929,24.962,25.405;P=0.000,0.000,0.000＜0.05).The Standardized Swallowing Assessment(SSA)score of(20.45±1.20)points in the study group after treatment was lower than(25.65±1.34)points in the control group(t=19.392,P=0.000＜0.05).The quality of life score of(91.82±2.29)points in the study group was higher than(82.77±2.47)points in the control group(t=18.024,P=0.000＜0.05).Conclusion During the treatment of patients with swallowing disorder after ischemic stroke,acupuncture medicine combined with routine rehabilitation can effectively promote the further improvement of the patient's prognosis,and it is of great value for the recovery of the patient's prognosis and health.
Ischemic strokeSwallowing disorderAcupunctureBuyang Huanwu decoctionRoutine rehabilitationNeurological function
万方数据
维普
