Application Of Low Frequency Pulse Electrotherapy Combined With Rehabilitation Training In Improving Dysphagia After Stroke

ObjectiveThe low-frequency pulse electrotherapy combined with comprehensive rehabilitation training was used to treat of dysphagia.Clinical efficacy and possible mechanism,and provide basis for evidence-based medicine and further in-depth study,and research results applied to clinical,provide a viable treatment to improve stroke patients with dysphagia.MethodsForty-eight patients with acute stroke complicated with dysphagia admitted in our hospital from September,2013 to July,2015 were selected as study subjects.Randomly divided into observation group and control group,24 cases in each group.Both groups received basic clinical treatment,including treatment of underlying diseases such as diabetes,hypertension,and early rehabilitation of dysphagia.The patients in the observation group were treated with low-frequency pulse electro-acupuncture stimulation on the basis of basic rehabilitation therapy.The swallowing function of the patients before and after treatment was analyzed and compared by using Kubota's drinking water test.The electrophysiological analysis was used to analyze the sternocleidomastoid,(SWAL-QQL)were used to evaluate the quality of life of the patients.The incidence of aspiration pneumonia in the patients was recorded.Results1)Swallowing function before the treatment has no significant differences between the observation group and the control group in the swallowing function group(P> 0.05).After the treatment,the patients in the observation group had 9 cases of swallowing function grade ?,12 cases of grade ?,1 case of grade ?,? grade 0 cases,thecontrol group patients swallowing ? grade 4 cases,? grade 10 cases,? grade 3cases,? grade 3 cases,? grade 4 cases,the difference was significant(P <0.05);2)The living quality score of the patients in observation group was(102.55 ± 11.62)and(101.94 ± 9.83)in the control group before treatment,and there was no significant difference between the two groups(P> 0.05).The score of the observation group after treatment was(196.84 ± 16.73)points,which was significantly higher than that of the control group(168.06 ± 19.28)points(P <0.05);3)The incidence of aspiration pneumonia was 16.67% in the observation group and 9cases in the control group;the incidence rate was 37.5%.There was significant difference between the two groups(P <0.05).4)The DANTEC high-speed electromyography and evoked potential system were used to evaluate the electrophysiological parameters of the sternocleidomastoid muscle,the masseter muscle,the lingual muscle and the ring muscle of the patients before and after the treatment.The results showed that the multiphase potential,(P <0.05).Compared with the control group,there were no significant differences between the two groups(P> 0.05).After treatment,the multiphasic potential,amplitude and time of treatment were significantly improved(P <0.05),the amplitude of the sternocleidomastoid muscle,the lingual muscle and the cricothyroid muscle decreased significantly(P <0.05),the time of the sternocleidomastoid muscle,the masseter muscle and the lingual musculus were significantly lower Significantly lower than the control group(P <0.05).ConclusionsLow-frequency pulse electro-acupuncture combined with basic rehabilitation training can effectively relieve the swallowing function after stroke and dysphagia,reduce the incidence of aspiration pneumonia,and improve the quality of life of patients.