Study On Acute Ischemic Stroke Patients With Swllowing Disorder Treated By Early Combinational Stimulations Therapy

ObjectiveTo observe the effect of early ice stimulation training and euro-muscular electrical stimulation on 180 cases of acute ischemic stroke patients with swallowing disorder.MethodsOne hundred and eighty stroke patients with swallowing disorder were divided into four groups at random. They were treated with conventional treatment,early ice stimulation training,early euro-muscular electrical stimulation and combinational stimulation therapy respectively. Swallowing function evaluation was administered with National institutes of health stroke scale(NIHSS),Burke scale, Swallowing evaluation standard and Swallowing disorder of neural function defect score, before treatment, and after 2-week,4-week and 8-week treatment. The curative effect was evaluated at the end of treatment.ResultsAfter treatment,patients’ swallowing function improved.NIHSS score,Burke score, Swallowing evaluation standard score and Swallowing disorder of neural function defect scale grade in combinational stimulations therapy group were better than that in other groups(P<0.05).The total effective rate of all groups were 43.2%,72.1%,82.2% and 91.1% respectively. The effective rate of combinational stimulation therapy group was also superior to that of other groups(P<0.05).The total incidence of aspiration pneumonia of all groups were 22.7%,11.6%,8.9% and 4.45% respectively. The incidence of aspiration pneumonia of combinational stimulation therapy group was also very lower than that of other groups(P<0.01).ConclusionCombinational stimulation therapy can significantly improve acute ischemic stroke patients’ swallowing function and ability of eating. The clinical effect of this combinational stimulation treatment is better than that of conventional treatment.Combinational stimulation therapy can significantly decrease the incidence of aspiration pneumonia and it is worthy of clinical application for its good treatment effect and simplicity and high safety. At the same time, it can supply clinical accordance for further performing prophylaxis therapy and study of swallowing disorder.