Effects of early intervention on status of nutrition and activities of daily life in patients with dysphagia following acute cerebral infarction.

Objective To study the effects of early different interventions on swallowing function,status of nutrition and activities of daily life in patients with dysphagia following acute cerebral infarction.Methods One hundred acute cerebral infarction patients with dysphagia were randomly divided into comprehensive treatment group(received rehabilitation training,acupuncture and routine therapy of drug),routine drug group(routine therapy of drug),rehabilitation group(received comprehensive rehabilitation training and routine therapy of drug) and acupuncture group(received acupuncture therapy and routine therapy of drug).Dysphagia and nutritional status were assessed by videofluoroscopic swallowing study(VFSS).Albumin(Alb),hemoglobin(Hb),total lymphocyte count(TLC) and activities of daily life were assessed by Barthel index before treatment and at the 14 th day after treatment.Results After treatment,the effective rate of the comprehensive treatment group was significantly higher than those in other three groups(P0.05).The Alb,Hb and TLC in the comprehensive treatment group were higher than those in other groups(P0.05).Barthel index after treatment was significantly higher in the comprehensive treatment group than that in other groups(P0.05).Conclusions Early rehabilitation training plus acupuncture may improve the swallowing function of acute stroke patients,alleviate the deteriorating malnutrition and enhance their activities of daily life.