| Objective: To investigate the effect of altofrequency repetitive transcranial magnetic stimulation (rTMS) combined with targeted acupuncture on post-stroke dysphagia (PSD). Methods: A total of 90 PSD patients were selected and divided into 2 groups according to the random number table method, with 45 patients in each group. RTMS group received altofrequency rTMS treatment on the basis of conventional treatment, and the combined group received targeted acupuncture treatment on the basis of rTMS group. The Standard swallowing function Assessment Scale (SSA) score, permeation aspiration scale (PAS) score and the swallowing time parameters (including oral transport time, swallowing response time, pharyngeal transport time, and laryngeal closure time) were compared between the two groups before and after treatment. In addition, the mobility of the hyoid laryngeal complex (including hyoid moving up, hyoid antedisplacement, thyroid cartilage moving up, thyroid cartilage antedisplacement) before and after treatment in the two groups was compared, and the value of root mean square (RMS), a time-domain indicator of myoelectric activity of the suprahyoid muscle group, was compared between the two groups. Results: After treatment, SSA and PAS scores were significantly lower, oral transport time, swallowing response time and pharyngeal transport time were significantly shorter, the mobility of the hyoid laryngeal complex was greater, and the RMS value of suprahyoid muscle group was greater in the combined group than those in the control group (P<0.01). Conclusion: Altofrequency rTMS combined with targeted acupuncture can increase the mobility of hyoid laryngeal complex, improve tongue muscle movement, shorten swallowing time, and has a significant effect in the treatment of PSD. |
