| Objective: Dysphagia is a common complication after stroke and plays a very important role in the prognosis of the disease.This study,by observing the clinical effect of neuromuscular electrical stimulation combined with rehabilitation exercise in the treatment of dysphagia after stroke,discusses the efficacy and advantages of neuromuscular electrical stimulation in the treatment of dysphagia after stroke,and analyzes the acupoint selection and related mechanisms in combination with the meridian theory,so as to provide new ideas and ideas for the clinical treatment of dysphagia after stroke.Methods: The patients were hospitalized in Fuzhou Second Hospital from February 1,2022 to March 31,2023,A total of 74 patients with secondary dysphagia after stroke who met the diagnostic and inclusion criteria were randomly divided into control group and experimental group,with 37 patients in each group.The control group was treated with routine rehabilitation training,improvement of circulation and nutritional nerves,and the experimental group was treated with Neuromuscular Electrical Stimulation on the basis of its treatment(The duration of each electrical stimulation is 30 minutes,five times a week,two days of rest,and 14 days as a course of treatment),SPSS 26.0 software was used to systematically analyze the indicators of Water Swallow Tes,Standardized Swallowing Assessment and Surface Electrography before and after treatment of the two groups of patients,and evaluate the effect of the two groups of patients after treatment and the differences between the groups.Result:During the treatment period,4 cases(2 cases in the experimental group and 2 cases in the control group)underwent abscission treatment.Therefore,the number of cases actually completed in this project is 70,with 35 in each group.1.Baseline comparison: Statistical analysis of general data such as age,sex,type of stroke,duration of disease and so on of the cases showed that P>0.05,indicating that there was no statistically significant difference between the two groups,and the data were comparable.2.Scale comparison:2.1 Experiment of water swallow test: The grade of water swallow test in both groups decreased after treatment compared with that before treatment,P < 0.05,indicating that the difference was statistically significant.After treatment,the comparison of grading efficacy between the two groups showed that P < 0.05,the difference was statistically significant,and the grading of the experimental group decreased more significantly than that of the control group.After treatment,there were 7 cases of ineffectiveness,13 cases of effectiveness,10 cases of obvious effect,5 cases of recovery,the total effective rate after treatment accounted for 80%.In the control group,15 cases were ineffective,11 cases were effective,7 cases were effective,and 2 cases were cured.The total effective rate after treatment accounted for 57.1%.2.2 Experiment of standardized swallowing assessment: The value of SSA in both groups decreased after treatment compared with that before treatment,P < 0.05,indicating that the difference was statistically significant.After treatment,the value of the two groups was compared between groups,and the result showed that P < 0.05,the difference was statistically significant,and the value of the experimental group decreased more significantly than that of the control group.3.Comparison of surface electromyography results:3.1 Comparison of swallowing time limits: The swallowing time limits of the two groups were shorter after treatment than before treatment,P < 0.05,indicating that the difference was statistically significant.After treatment,the swallowing time of the two groups was compared between the two groups,and the result showed that the difference was statistically significant(P < 0.05),and the swallowing time of the experimental group was shortened more significantly than that of the control group.3.2 Comparison of average amplitude of submental muscle group: After treatment,the average amplitude of submental muscle group in both groups was increased compared with that before treatment,P < 0.05,indicating that the difference was statistically significant.After treatment,the average amplitude of submental muscle in the two groups was compared,and the results showed that the difference was statistically significant(P < 0.05),and the improvement of the average amplitude of submental muscle in the experimental group was more obvious than that in the control group.3.3 Comparison of average amplitudes of subhyoid muscle group: The average amplitudes of subhyoid muscle group of the two groups were increased after treatment compared with before treatment,P < 0.05,indicating that the difference was statistically significant.After treatment,the average amplitude of the subhyoid muscle in the two groups was compared between the two groups,and the results showed that the difference was statistically significant(P < 0.05),and the improvement of the average amplitude of the subhyoid muscle in the experimental group was more obvious than that in the control group.Conclusion:1.Both rehabilitation training combined with symptomatic Western medicine and rehabilitation training combined with symptomatic Western medicine combined with neuromuscular electrical stimulation have a certain effect on improving swallowing disorders after stroke.Both programs can improve the graded efficacy of the Depression Drinking water Test scale and reduce the relevant values of SSA and SSA.The average amplitude of subhyoid muscle and submental muscle was increased and the swallowing time was shortened.2.After treatment,the comparison between the two groups showed that the treatment plan of the experimental group was better than that of the control group,which was more conducive to the improvement of the swallowing function of patients in clinical treatment.3.Neuromuscular electrical stimulation has the advantages of simple operation,high safety performance and less frequency of adverse events,which is convenient for clinical promotion.Therefore,rehabilitation training combined with neuromuscular electrical stimulation can be promoted clinically as a treatment plan for swallowing disorders after stroke. |
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