Clinical effect of tongqiaoliyan traditional Chinese medicine compound atomize combined with VitalStim electric stimulation in patients with dysphagia caused by stroke / 中国医师进修杂志

ABSTRACT

Objective To observe the clinical effect of tongqiaoliyan traditional Chinese medicine compound atomize combined with VitalStim electric stimulation in patients with dysphagia caused by stroke. Methods Sixty patients with dysphagia caused by stroke from July 2016 to December 2017 were divided into electric stimulation group, atomize group and combine group by random digits table method with 20 cases each. The patients of 3 groups were treated according to different etiologies, then the patients in electric stimulation were given the VitalStim electric stimulation, the patients in atomize group were given tongqiaoliyan traditional Chinese medicine compound atomize, and the patients in combine group were given tongqiaoliyan traditional Chinese medicine compound atomize combined with VitalStim electric stimulation. The dysphagia was evaluated by drinking water test, and the curative effect was evaluated. Results The dysphagia after treatment in 3 groups was significantly improved. The improvement of dysphagia in combine group was significantly better than that in electric stimulation group and atomize group, and there was statistical difference (P<0.05). The total effective rate in combine group was significantly higher than that in electric stimulation group and atomize group 95.0％(19/20) vs. 70.0％ (14/20) and 75.0％ (15/20), and there was statistical difference (P<0.05); and there was no statistical difference between electric stimulation group and atomize group (P>0.05). During the treatment period, none of the patients in 3 groups had obvious adverse effects. Conclusions Tongqiaoliyan traditional Chinese medicine compound atomize combined with VitalStim electric stimulation can improve the dysphagia caused by stroke, and the curative effect is better than that of monotherapy. There is no obvious adverse reaction, and the operation is convenient and the patient is easy to accept.