通关利窍针刺法联合重复经颅磁刺激治疗脑卒中后吞咽障碍临床研究OA

Objective:To observe the efficacy of Tongguan Liqiao acupuncture(acupuncture for opening the orifices and unblocking the passages)combined with repetitive transcranial magnetic stimulation(rTMS)in the treatment of post-stroke dysphagia.Methods:Ninety patients were randomly divided into two groups,with 45 cases in each group.Both groups received swallowing rehabilitation training and rTMS,while the study group additionally received Tongguan Liqiao acupuncture.Results:The total effective rate in the study group was higher than that in the control group(P<0.05).After treatment,the scores for difficulty in swallowing food and water,choking while drinking,and drooling in the study group were lower than those in the control group(P<0.05).The Eating Assessment Tool(EAT-10)score was lower than that of the control group(P<0.05).The Mann Assessment of Swallowing Ability(MMASA)score was higher than that of the control group(P<0.05).The maximum amplitude value was higher than that of the control group(P<0.05).The swallowing duration was shorter than that of the control group(P<0.05)and the SWAL-QOL score was higher than that of the control group(P<0.05).Conclusion:Tongguan Liqiao acupuncture combined with rTMS has a good therapeutic effect on post-stroke dysphagia.