The traditional Chinese medicine rehabilitation for post-stroke dysphagia impairment will be intervened, which can promote the recovery of dysphagia function of stroke patients, reduce the disability rate and improve the quality of life.
This study will collect inpatients from April 2020 to December 2022 who from the third affiliated hospital of Zhejiang university of traditional Chinese medicine, Jiaxing hospital of traditional Chinese medicine, Hangzhou hospital of traditional Chinese medicine.this study sets strict time window (stroke recovery, 30-180 days), use multi-center, large sample, randomized controlled study method and the objective recognition rehabilitation evaluation criteria and efficacy evaluation system to evaluate the clinical effect and analysis of health economics.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
240
acupuncture
Liu-Zi-Jue Gongfa
The Third Affiliated Hospital of Zhejiang Chinese Medical University
Hangzhou, Zhejiang, China
RECRUITINGHangzhou hospital of traditional Chinese medicine
Hangzhou, Zhejiang, China
RECRUITINGJiaxing hospital of Chinese traditional medicine
Jiaxing, Zhejiang, China
RECRUITINGStandardized Swallowing Assessment
use Standardized Swallowing Assessment to evaluate the patient's conscious, lip closure control ability, the head and trunk control ability, the respiratory mode.
Time frame: Change from Baseline Standardized Swallowing Assessment at 4 weeks
video fluoroscopic swallowing study score,VFSS score
Mainly includes oral stage, pharynx stage, the degree of pharynx three parts, oral stage for 0-2 points; The pharyngeal period was 0-3 points; The degree of pharynx error is 0-4 points, with a total score of 9 points for the sum of the three points. The higher the score, the better the swallowing function is.
Time frame: 0 week;4 weeks
The effective rate of swallowing function treatment
The effective rate was calculated according to the score of the standard swallowing function evaluation,scale, and the effective criterion was as follows: the patient's score increased by more than 30% \> compared with that before treatment.
Time frame: at baseline, 0 week, 4 weeks, 8 weeks and 16 weeks
Time required for swallowing to improve
it will be assessed by Water Swallow Test (WST),this test divided into 1 \~ 5 levels. The higher level means less dysphagia
Time frame: at 0 week, 4 weeks, 8 weeks, 16 weeks
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