| Objective: To investigate the effect of therapeutic eating combined with swallowing training on dysphagia after stroke under the guidance of video fluoroscopic swallowing study (VFSS). Methods: A total of 60 patients with dysphagia after stroke with indwelling gastric tube admitted to Rehabilitation Medical Center of Hubei Hospital of Integrated Traditional and Western Medicine from March 2021 to March 2022 were selected and divided into control group (30 cases) and experimental group (30 cases) according to a random number table. Both groups received VFSS after admission. The control group received routine swallowing training, and the experimental group received therapeutic eating after swallowing training. The patients were treated 5 days in a week for 3 weeks. The data of the water swallow test (WST), the penetration-aspiration scale (PAS) and the functional oral intake scale (FIOS) were recorded. The data were collected before and after treatment, and the extubation rates of the two groups, as well as the cough and sputum of the patients after the discharge were analyzed. Results: There were no significant differences in WST, PAS and FIOS levels before treatment between two groups (P>0.05). After 3 weeks of intervention, there were differences in WST and PAS level (P<0.01), but there were no significant changes in FIOS level in the control group. Scores in the experimental group were significantly improved as compared with those before treatment (P<0.01). As compared with the control group, WST, PAS and FIOS levels and extubation rate were significantly increased, and the cough and expectoration were significantly improved one month after discharge in the experimental group (P<0.01). Conclusion: Therapeutic eating combined with swallowing training under the guidance of VFSS can significantly improve the dysphagia of patients after stroke. |
