| Objective: To observe the effect of swallowing rehabilitation training combined with neuromuscular electrical stimulation (NMES) on swallowing function, surface electromyography and the dynamic degree of hyoid larynx complex in patients with dysphagia after stroke. Methods: 70 patients with dysphagia after stroke in our hospital from September 2018 to October 2020 were selected. According to the parity of the mantissa of the inpatient number, the patients were divided into control group and experimental group, 35 cases respectively. The control group only carried out swallowing rehabilitation training. The experimental group received NMES treatment on this basis, both groups were treated for 2 courses. The swallowing function, surface electromyography, the dynamic degree of hyoid larynx complex and quality of life in two groups were observed before and after treatment. Results: 2 courses after treatment, the total effective rate of swallowing function improvement in the experimental group was higher than that in the control group, and there was a significant difference between the groups (P<0.05). 2 courses after treatment, the duration of swallowing was shortened and the maximum amplitude value was increased in two groups , and the duration of swallowing in the experimental group was shorter than that in the control group, and the maximum amplitude of swallowing was higher than that in the control group (P<0.05). 2 courses after treatment, the hyoid bone displacement distance, hyoid bone displacement distance, thyroid cartilage displacement distance and thyroid cartilage displacement distance increased in two groups , and the hyoid bone displacement distance, hyoid bone displacement distance, thyroid cartilage displacement distance and thyroid cartilage displacement distance in the experimental group were greater than those in the control group (P<0.05). 2 courses after treatment, the total score of SWAL-QOL in two groups was increased, and the total score of SWAL-QOL in the experimental group was higher than that in the control group (P<0.05). Conclusion: NMES combined with rehabilitation training in patients with dysphagia after stroke can effectively promote the improvement of their deglutition function, improve the muscle strength of hyoid muscle group and quality of life. |
