Clinical Observation of High-Frequency Repetitive Transcranial Magnetic Stimulation Combined with Pharyngeal Ice Stimulation Training for the Treatment of Swallowing Dysfunction after Acute Cerebral Infarction
Objective To explore the clinical effect of high-frequency repetitive transcranial magnetic stimulation combined with pharyngeal ice stimulation training in patients with swallowing dysfunction after acute cerebral infarction.Methods 74 patients with swallowing dysfunction after acute cerebral infarction admitted to the First People's Hospital of Nantong from March 2021 to August 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 37 cases in each group.Both groups were treated with high-frequency repetitive transcranial magnetic stimulation.On this basis,the control group was treated with routine training and the observation group with pharyngeal ice stimulation training.Both groups were treated for 4 weeks.The clinical effect,swallowing function,nerve function and nutritional status of the two groups were compared.Results The clinical effect of observation group was better than that of control group,and the difference was statistically significant(P＜0.05).After treatment,the functional oral feeding evaluation scale score(4.04±0.51)points in the observation group was higher than(2.81±0.38)points in the control group,and the standard swallowing function evaluation scale(21.05±1.11)points was lower than(25.75±4.52)points in the control group,with statistical significance between groups(P＜0.05);the score of National Institutes of Health Stroke Scale in the observation group was(7.03±2.31)points,which was lower than(9.22±2.41)points in the control group,and the difference was statistically significant(P＜0.05);serum albumin level was(39.88±5.18)g/L,hemoglobin level was(135.34±13.13)g/L,body mass index was(20.58±1.25)kg/m2 they were higher than(36.11±4.12)g/L,(125.85±12.84)g/L,(19.22±1.31)kg/m2 of the control group,and the differences between groups were statistically significant(P＜0.05).Conclusion The clinical effect of high-frequency repetitive transcranial magnetic stimulation combined with pharyngeal ice stimulation is better,which can effectively improve swallowing function and neurological function,and promote the improvement of patient nutritional status.
Acute cerebral infarctionSwallowing dysfunctionHigh-frequency repetitive transcranial magnetic stimulationPharyngeal ice stimulation trainingNeurological functionNutritional status
NETL
NSTL
万方数据
