Therapeutic efficacy of rTMS combined with warm acupuncture on post-stroke dysphagia
Objective It is to observe the efficacy of repetitive transcranial magnetic stimulation(rTMS)combined with warm acupuncture in the treatment of post-stroke dysphagia.Methods Sixty patients with post-stroke dysphagia who were hospitalized in the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine from January 2021 to August 2022 were selected and divided into rTMS group,warm acupuncture group and combination group according to ran-domized number table method,with 20 patients in each group.The patients of the three groups were all given conventional swallowing rehabilitation,additionally,the rTMS group was treated with rTMS,the warm acupuncture group was treated with warm acupuncture,and the combination group was treated with rTMS combined with warm acupuncture,all the three groups were continuously treated for 4 weeks.The patients of the three groups were evaluated by Rosenbek Penetration-As-piration Scale(PAS),Standardized Swallowing Assessment Scale(SSA),Swallowing Quality of Life(SWAL-QOL)and Kubota Drinking Water Test before and after 4 weeks of treatment,the clinical efficacies of the three groups were com-pared.Results After 4 weeks of treatment,the PAS scores,SSA scores of patients of the three groups were decreased,while the SWAL-QOL scores were increased,and Kubota Drinking Water Test classifications were improved compared with before treatment,and the improvements of the above scores and Kubota Drinking Water Test classification in the combina-tion group were significantly better than those in the rTMS group and warm acupuncture group,the differences were all sta-tistically significant(all P<0.05).The total effective rate of the combination group was significantly higher than those of the rTMS group and warm acupuncture group[85%(17/20)VS.55%(11/20)and50%(10/20),both P<0.05].Conclusion rTMS combined with warm acupuncture based on routine swallowing rehabilitation training can significantly improve the swallowing dysfunction in patients with stroke.
swallowing dysfunctionstrokerepetitive transcranial magnetic stimulationwarm acupuncture
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