| Objective: To observe the therapeutic effects of targeted acupuncture combined with high frequency repetitive transcranial magnetic stimulation (rTMS) on dysphagia after stroke. Methods: Sixty patients with dysphagia after stroke were randomly divided into conventional group, acupuncture group and combined group, with 20 cases in each group. The conventional group was treated with conventional drugs such as improving cerebral blood supply and nourishing brain cells, while the direct feeding method and indirect therapy were used. On the basis of routine treatment, the acupuncture group was given targeted acupuncture by experienced acupuncturists, selecting points Fengchi and Liyan. The combined group was treated with high performance magnetic stimulator on the basis of acupuncture group. Swallowing function was evaluated by wa Tian drinking water test (WST) and swallowing function assessment scale (SSA). Results: After 4 weeks of treatment, the WST and SSA scores of the 3 groups were significantly lower than before treatment (all P<0.05), and those in the combined group and acupuncture group were lower than the conventional group (both P<0.05), and those in the combined group was lower than the acupuncture group (P<0.05). The cure rate and total effective rate of the combined group and acupuncture group were significantly higher than those of the conventional group (all P<0.05), and the cure rate and total effective rate of the combined group were higher than those of the acupuncture group (both P<0.05). Conclusion: Targeted acupuncture therapy combined with high frequency rTMS can effectively improve dysphagia after stroke, and the combined therapy is more effective. |
