ABSTRACT
Objective To explore the effect of Xingnao acupuncture combined with swallowing rehabilitation training on dysphagia after stroke .Methods 66 patients with dysphagia after stroke were selected as the research subjects ,and they were randomly divided into the observation group and the control group ,33 cases in each group .The control group was given rehabilitation training on the basis of conventional treatment ,while the observation group was given Xingnao acupuncture method on the basis of the control group .The therapeutic effect ,swallowing function and adverse reactions were observed before and after treatment in the two groups .Results After treatment,the treatment effect in the observation group was significantly better than that in the control group ,there was statistically significant difference between the two groups (Z=-4.123,P<0.05).The total effective rates of the two groups were 93.94％, 75.76％,respectively,there was no statistically significant difference between the two groups (χ2 =1.906,P>0.05). After treatment,the Watian drinking water test scores,standardized swallowing assessment (SSA) score,dysphagia score in the control group were (1.39 ±0.47) points,(23.02 ±5.24) points,(1.25 ±0.55) points,respectively, which in the observation group were (0.74 ±0.39) points,(18.26 ±3.71) points,(0.74 ±0.28) points,and the differences were statistically significant compared with before treatment ( the control group:t =21.453,10.644, 26.212,all P<0.05;the observation group:t=27.779,14.15,37.469,all P<0.05),which in the observation group were better than those in the control group ,the differences were statistically significant ( t=6.114,4.259,4.747,all P<0.05).There was no statistically significant difference in the incidence of adverse events between the two groups (P>0.05).Conclusion Xingnao acupuncture combined with swallowing rehabilitation training in the treatment of dysphagia after stroke can effectively improve the swallowing function ,improve the quality of life of patients ,and it is safe,reliable and worthy of promotion in clinical practice .
ABSTRACT
OBJECTIVE: To evaluate the intervening effect of nutritional health education on the dietary intake on hightemperature operation steel workers.METHODS: A total of 301 workers engaged in high-temperature operation in a steel enterprise in Tangshan City were selected as study objects by cluster sampling method.They were randomly divided into control group(149 cases) and intervention group(152 cases) by random sampling method.After a baseline dietary intake survey,the intervention group received nutritional health education for 3 months,and no intervention was given to control group.RESULTS: Before the intervention,only the intake of egg,grease and energy were up to the standard.Most of the other foods,water intake during the work break and the intake of essential nutrients were not up to the standard.After the intervention,the intake of cereals,vegetables,fruits,dairy and milk,beans,livestock,fish and shrimp,salt,protein,Vit B1,Vit B2,Vit C,kalium,sodium and water intake during the work break were improved compared with control group(P<0.05).After intervention,the ratio of energy supply of meal during work in the intervention group was higher than that of control group(67.8% vs 55.0%,P<0.05).CONCLUSION: The intervention of nutritional health education can effectively improve the status of dietary intake in high-temperature operation steel workers.