| Objective: To investigate the effect of high-frequency repetitive transcranial magnetic stimulation (rTMS) on the representative area of the healthy hemisphere swallowing cortex combined with swallowing rehabilitation training in the treatment of dysphagia after cerebral apoplexy. Methods: A total of 82 patients with dysphagia after ischemic stroke admitted to our hospital from March 2019 to March 2021 were selected and divided into two groups by random number table method. The control group (41 cases) was treated with swallowing rehabilitation training for 1 month, and the observation group (41 cases) was treated with high frequency rTMS on the representative area of the healthy hemisphere swallowing cortex combined with swallowing rehabilitation training for 1 month. The curative effect, improvement degree of dysphagia and quality of life were observed and compared between the two groups. Results: The effective rate of observation group was higher than that of control group (P<0.05). After treatment, upper esophageal sphincter (UES) opening time, USE opening degree, pharyngeal contraction duration, hyoid vertical displacement (HV), hyoid anterior displacement (HA), scores of functional oral intake scale (FOIS) and diet, psychological stress, emotional state, social function, communication, swallowing quality of life questionnaire (SWAL-QOL) in the two groups were significantly higher than those before treatment (P<0.05), and the above indexes in the observation group were higher than those in the control group (P<0.05). After treatment, the aspiration score, dysphagia score and Wuda field drinking water test score in observation group were significantly lower than those before treatment (P<0.05), and those in the observation group were significantly lower than those in the control group (P<0.05). Conclusion: The effect of high-frequency rTMS on the representative area of the healthy hemisphere swallowing cortex combined with swallowing rehabilitation training can improve the swallowing function and the quality of life of patients with dysphagia after ischemic stroke more effectively than that of swallowing rehabilitation training alone. |
