A Clinical Trail of Traditional Chinese Medicine Rehabilitation for Stroke Lead to Dysphagia / Cognitive Disorder

STATUS

Recruiting
participants needed

480
sponsor

The Third Affiliated hospital of Zhejiang Chinese Medical University

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Updated on 19 February 2024

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acupuncture

dysphagia

infarct

cerebral infarction

ischemic stroke

Summary

The traditional Chinese medicine rehabilitation for the deglutition and cognitive impairment after stroke will be intervened, which can promote the recovery of dysphagia and cognitive function of stroke patients, reduce the disability rate and improve the quality of life.

Description

This study will collect inpatients from January 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.

Details

Condition	Cerebrovascular accident
Age	18-85 years
Treatment	Chinese traditional rehabilitation
Clinical Study Identifier	NCT04398355
Sponsor	The Third Affiliated hospital of Zhejiang Chinese Medical University
Last Modified on	19 February 2024

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Eligibility		Yes	No	Not Sure
Inclusion Criteria
	Dysphagia
	Meet the diagnostic criteria of stroke in traditional Chinese medicine
	Meet the diagnostic criteria of ischemic stroke in western medicine
	meet the diagnostic criteria of pseudobulbar palsy
	Age is 18-85, gender not limited
	The course of disease is 30 to 180 days
	Water test level 3 and level 3 above
	Meet the requirements for indications of acupuncture and moxibustion techniques; Volunteer to participate in this project, the patient has no serious complications, can accept acupuncture treatment and good compliance
	Sign informed consent
	Cognitive disorder
	Chinese medicine diagnosed as apoplexy
	The diagnosis of cerebral infarction or cerebral hemorrhage was consistent with western medicine by CT/MRI examination
	The course of disease ranges from 30 to 180 days
	First onset; Or come on in the past without the sequela such as limb paralysis; Age 18 years
	Informed consent signed by the legal guardian of the patient
	Montreal cognitive assessment scale (Montreal Cognitive Assessment, MoCA) score reaches a certain standard, MoCA scale score of 30 points, scored 26 points or less judged with cognitive impairment, if the education time 12 years or less on the basis of plus 1
	Hamilton depression scale (HAMD) < 20\
	Meet the requirements of indications of acupuncture and moxibustion; Volunteer to participate in this project, the patient has no serious complications, can accept acupuncture treatment and good compliance
Exclusion Criteria
	Dysphagia
	Patients with true bulbar palsy caused by brainstem encephalitis, motor neurone disease, pontine tumor, multiple sclerosis, myasthenia gravis, medulla bulbar cavity
	Cerebral hemorrhage caused by cerebrovascular malformation, trauma, aneurysm and other causes
	Pregnant or lactating women
	Patients with severe primary chronic diseases, severe dementia and cognitive impairment, serious language understanding disorders, and mental illness, including heart, liver, kidney and other viscera, as well as the endocrine system and hematopoietic system
	Suffered from a variety of bleeding tendency diseases
	The patient to swallow contrast drug allergy
	Patients who do not meet the inclusion criteria, do not have poor treatment compliance as prescribed, cannot judge the efficacy or incomplete data affect the judgment of efficacy and are not suitable for clinical observation
	Cognitive disorder
	Subarachnoid hemorrhage, transient ischemic attack, or with other intracranial lesions such as intracranial tumor, aneurysm, vascular malformation, cysticercosis, schistosomiasis, encephalitis, meningitis, hydrocephalus, brain trauma sequelae; Non-atherosclerotic thrombotic cerebral infarction (such as cardiogenic embolism, clotting status, endovascular shedding, arteritis, etc.)
	Patients with severe primary chronic diseases such as heart, liver, kidney, viscera, endocrine system, hematopoietic system, serious disorders of language understanding, and mental disorders
	Suffered from a variety of bleeding tendency diseases
	Pregnant or lactating women
	Patients who do not meet the inclusion criteria, do not have poor treatment compliance as prescribed, which cannot judge the efficacy or incomplete data affect the efficacy judgment and are not suitable for clinical observation; before the occurrence of the cerebrovascular accident, due to other reasons (such as surgery, trauma, congenital disability) lead to the existence of limb movement dysfunction of the patients

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A Clinical Trail of Traditional Chinese Medicine Rehabilitation for Stroke Lead to Dysphagia / Cognitive Disorder