The Application Value of Bilateral Repetitive Transcranial Magnetic Stimulation Assisted by Swallowing Respiratory Guidance in the Treatment of Patients with Dysphagia After Stroke

Abstract

Objective: This study investigates the application value of bilateral repetitive transcranial magnetic stimulation (rTMS) assisted by swallowing respiratory guidance in the treatment of patients with dysphagia after stroke. Methods: 46 patients with dysphagia after stroke in our hospital from January 2022 to December 2022 were treated with bilateral rTMS and allocated into group A, and 46 patients with dysphagia after stroke that treated with bilateral rTMS assisted by swallowing respiratory guidance were assigned into group B. The clinical efficacy in the two groups was compared, the information on the grade of water swallow test and levels of respiratory function and nerve injury indexes in the two groups was collected, and the occurrence of adverse reaction in the two groups was recorded during the treatment. Results: The total effective rate in group B was higher than that in group A (p < 0.05). Compared with before treatment, the grade of water swallow test and the levels of neuron-specific enolase (NSE), visinin-like protein 1 (VILIP-1), neuropeptide Y (NPY), and breath frequency (BF) in two groups were decreased after treatment, and those in group B were lower than those in group A (p < 0.05). Compared with before treatment, the levels of forced vital capacity (FVC) and maximum voluntary ventilation (MVV) in two groups were increased after treatment, and the levels in group B were higher than those group A (p < 0.05). There was no significant difference in the incidence of adverse reaction between the two groups (p > 0.05). Conclusion: Bilateral rTMS assisted by swallowing respiratory guidance is effective in the treatment of dysphagia after stroke, which can alleviate the symptoms of dysphagia, improve respiratory function, effectively relieve nerve damage, and will not cause more serious adverse reaction.