| Objective: To explore the application value of Jin’ s three-needle combined with rehabilitation training on swallowing dysfunction of pseudobulbar palsy (PBP) after cerebral apoplexy (CA). Methods: 92 patients with swallowing dysfunction of PBP after CA in our hospital were selected as the research subjects. According to the simple random grouping method, they were divided into observation group and control group with 46 cases in each group. Both groups were given basic treatments such as blood pressure reduction, lipid-lowering and blood glucose regulation according to the basic symptoms. The control group was given rehabilitation training on this basis, and the observation group was given rehabilitation training and Jin’ s three-needle therapy. After 2 weeks of treatment, the two groups were compared in terms of clinical efficacy, swallowing function, tongue-throat swallowing function[modified mann assessment of swallowing ability, MMASA], serum nerve factors [nerve growth factor (NGF), brain-derived neurotrophic factor (BDNF), neuron-specific enolase (NSE), insulin-like growth factor (IGF-1)] and adverse reactions. Results: The total clinical effective rate in observation group was significantly higher than control group (P<0.05). After 2 weeks of treatment, the water swallow test grading and score in the two groups were significantly decreased (P<0.05), the scores of MMASA in all dimensions of both groups were significantly increased (P<0.05), and the difference between groups was significant (P<0.05). The levels of serum NGF, BDNF and IGF-1 in both groups were significantly elevated (P<0.05) while the level of NSE was significantly declined (P<0.05), and the differences between the two groups were significant (P<0.05). During treatment, there were no obvious adverse reactions in the two groups. Conclusion: Jin’ s three-needle combined with rehabilitation training can effectively improve the swallowing function of patients with swallowing dysfunction of PBP after CA, enhance the tongue-throat swallowing ability, and promote the recovery of neurological function, and its clinical efficacy is considerable. |
