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Objective To investigate the application effect of swallowing training and ice stimulation combined with electromyography biofeedback therapy in stroke patients with swallowing and coughing .Methods Seventy-nine stroke swallowing and coughing patients treated were collected and were randomly divided into two groups (39 cases in control group,40 cases in observation group ) according to the digital table .The control group was treated with normal swallowing training,while the observation group was treated with ice stimulation combined with electromyography biofeedback therapy.The clinical intervention effect and the VFSS results before and after the intervention were observed and compared .The complications of the two groups were statistically analyzed .Results The total effective rate of the observation group [90.00％(36/40)] was higher than that of the control group [71.79％(28/39),χ2 =4.255,P=0.039].After eight-week intervention,the VFSS score of the observation group was higher than that of the control group(t=12.173,P=0.000);and the incidence rate of complications of the observation group [7.50％(3/40)] was lower than that of the control group [25.64％(10/39),χ2 =4.727,P=0.030].Conclusion Swallowing training and ice stimulation combined with electromyography biofeedback therapy can significantly improve the swallowing function of stroke patients with swallowing and coughing ,and it is safe .
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Objective To study the effect of early ice stimulation therapy combined with swallowing training on swallowing dysfunction after severe traumatic brain injury. Methods Seventy-four patients with severe brain injury complicated with swallowing disorder were randomly divided into experiment group equally: the treatment group was managed with early ice stimulation therapy combined with swallowing training , while the control group was treated with simple swallowing training . The two groups were compared in terms of dysphagia severity by Watian drinking water test . Results There was significant difference between the two groups ( P<0 . 01 ) . The curative effect of the experiment group was better than that of the control group . Conclusion Early ice stimulation combined with swallowing training can improve the swallowing function in patients with severe traumatic brain injury .
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Objective To evaluate the therapeutic effect of new oral care method for the treatment of swallowing disturbance after cerebral apoplexy. Methods A total of 50 post-apoplexy patients with swallowing disturbance were evenly randomized into treatment group and control group, 25 in each group. Both groups were given routine rehabilitation training for recovering swallowing function, and the rehabilitation training covered fundamental training, swallowing training, and food in-take training. And additionally, the control group was given routine oral care, and the treatment group was given new oral care method which included the stimulation on K point, cold Yin He gargle stimulation and focal application of herbal medicine buccal droplets. Two weeks later, water swallow test results were grading for evaluation of the therapeutic effect of the two groups. Results (1) After treatment for 2 continuous weeks, the water swallow test results were classified into grades 1 and 2 in 23 cases of the treatment group and in 17 of the control group, indicating that the treatment group had better effect on improving swallowing function ( P<0.01). ( 2) The total effective rate was 92.0% in the treatment group, higher than 68.0% in the control group ( P<0.01). Conclusion New oral care method has better effect on relieving swallowing disturbance than routine oral care for the treatment of swallowing disturbance after cerebral apoplexy.