Effect Of Neuromuscular Electrical Stimulation Combined With Ear Point Pressing On Hyoid-laryngeal Complex Mobility After Stroke

Objective: Quantitative analysis was conducted to explore the effect of neuromuscular electrical stimulation combined with ear point pressing on the mobility of the hyoid-laryngeal complex in patients with dysphagia after stroke and observe its clinical efficacy,and provide clinical research support for Chinese and Western medicine treatment options and improvement of swallowing function.Methods: Seventy patients with dysphagia during the post-stroke pharyngeal stage who meet the criteria for inclusion were divided into treatment group(n=35)and control group(n=35)according to random number method.Both were based on conventional swallowing rehabilitation,and the treatment group was treated with nerves.Muscle electrical stimulation was combined with ear point pressing.The control group was treated with neuromuscular electrical stimulation,and the treatment period was 28 days.Swallowing contrast examinations were performed before and after treatment to measure the upward and forward movement amplitudes of the hyoid bone and thyroid cartilage of the patient during a semi-liquid diet,as well as the water drinking test before and after treatment,standard swallowing function assessment method,and functional menstruation.Swallowing function was assessed by the changes in oral intake grading and osmotic-aspiration scale.Results:1 General data comparison: 1 case was eliminated in the treatment group,1 case was dropped in the control group,68 cases were actually completed,including 34 cases in the treatment group and 34 cases in the control group.There were no significant differences in the scores of drinking water test,standard swallowing function assessment method,functional oral intake grading,and osmotic-aspiration scale(P>0.05),and they were comparable.2 Comparison of the evaluation scales: After treatment,the difference between the two groups of patients in the Watian drinking test,standard swallowing function assessment method,functional oral intake grading,and osmotic-aspiration scale scores were statistically significant(P<0.05);two groups of patients the difference between the Watian drinking water test,standard swallowing function assessment method,functional oral intake grading,and osmotic-aspiration scale scores were statistically significant(P<0.05).3 Comparison of Hyoid-Laryngeal Complex Mobility: The difference between the two groups of patients in the amplitude of hyoid up and forward movement after treatment and before treatment was statistically significant(P<0.01);the difference in the amplitude of the hyoid bone up and forward in the two groups of patients was different between the groups all have significant statistical significance(P<0.01).4 Comparison of clinical efficacy between the two groups: The overall effective rate of the treatment group was 91.2%,and the overall effective rate of the control group was 85.3%.The difference was statistically significant(P<0.05).The treatment plan of the treatment group was better than that of the control group.Conclusion: 1 Neuromuscular electrical stimulation combined with ear point pressing and neuromuscular electrical stimulation alone have clinical effects in the treatment of post-stroke patients with pharyngeal dysphagia,and neuromuscular electrical stimulation combined with ear point pressing has a better therapeutic effect.2 Neuromuscular electrical stimulation combined with ear point pressing can effectively improve the mobility of the hyoid-laryngeal complex,which is beneficial to the recovery of swallowing function in patients with pharyngeal dysphagia after stroke,and effectively reduces the occurrence of complications such as aspiration,coughing,and penetration.Better than the simple neuromuscular electrical stimulation group.