Abstract

To observe the clinical effect of mind-refreshing and orifice-opening needling method plus swallowing disorder therapeutic apparatus for deglutition disorder of stroke patients in convalescence stage. A total of 136 patients conforming to the inclusion criteria were randomized into three groups by the random number table, including group A of 46 cases, group B of 44 cases and group C of 46 cases. Patients in group A received swallowing disorder therapeutic apparatus treatment, patients in group B received mind-refreshing and orifice-opening needling method treatment, and patients in group C received mind-refreshing and orifice-opening needling method plus swallowing disorder therapeutic apparatus treatment. The treatment was given once a day for 10 d as a course, the whole treatment lasted for 4 courses. Therapeutic evaluation items including water-swallowing test (WST), standardized swallowing assessment (SSA) and modified Barthel index (MBI) were measured before treatment, after treatment and at follow-up visit (2 months after treatment). After treatment, scores of WST and MBI in all three groups increased significantly (all P 0.05); the SSA score in group C was substantially lower than that in group A and group B (all P 0.05); the MBI scores in group B and group C were substantially higher than that in group A (all P 0.05). After treatment and during follow-up visit period, the differences in overall therapeutic effect between group A and group B showed no statistical significance (P>0.05), while the overall therapeutic effect in group C was substantially better than that in group A and group B (all P<0.05). Both mind-refreshing and orifice-opening needling method and swallowing disorder therapeutic apparatus can alleviate symptoms of deglutition disorder of stroke patients respectively, and the combination of two methods can improve the therapeutic effect.

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