Clinical Effects of Modified Buyang Huanwu Decoction and Ditan Decoction Combined with Swallowing Function Training on the Improvement of Patients with Dysphagia after Cerebral Infarction(Intermingled Phlegm and Blood Stasis Syndrome)
To investigate the clinical efficacy of modified Buyang Huanwu Decociton and Ditan Decoction combined with swallowing function training on the improvement of patients with dysphagia after cerebral infarction(intermingled phlegm and blood stasis syndrome),and to investigate the effects on patients' swallowing function,nerve function and quality of life.Methods:A total of 90 patients with dysphagia after cerebral infarction admitted in Qinghai Red Cross Hospital from January 2017 to April 2018 were randomly divided into a control group of 45 cases and an observation group of 45 cases.Patients in the control group were given swallowing function training; while patients in the observation group were treated with oral administration of modified Buyang Huanwu Decoction and Ditan Decoction on the basis of the control group,4 weeks as a treatment course.The swallowing disorder degree was determined by video fluoroscopic swallowing study(VFSS)before and after the treatment.The swallowing function was evaluated by potable water swallow test.The nerve function defect degree was evaluated by National Institute of Health Stroke Scale(NIHSS).The quality of life was evaluated by the swallowing quality of life questionnaire(SWAL-QOL).The clinical curative effects of the 2 groups were compared.Results:The effective rate of the observation group was 91.11%,which was significantly higher than that of the control group(P<0.05); Before treatment,there was no significant difference in VFSS,neurologic function,potable water test and swallowing survival quality score between the 2 groups(P>0.05).After the treatment,VFSS score and SWAL-QOL score of swallowing quality of the 2 groups of patients were significantly increased than before the treatment,and the observation group was higher than the control group(P<0.05); The NIHSS score and the potable water test score of nerve function defect degree were significantly decreased than those before treatment,and the observation group was lower than the control group(P<0.05); The swallowing function of the observation group was significantly better than before treatment and that of the control group(P<0.05).Conclusion:Modified Buyang Huanwu Decociton and Ditan Decoction combined with swallowing function training is helpful to promote swallowing disorder after cerebral infarction(intermingled phlegm and blood stasis syndrome)patients with swallowing function recovery,improve nerve function and the quality of life of patients,which has curative effect and certain clinical value.