Clinical Observation on Neuromuscular Electrical Stimulation Combined with Acupuncture and Rehabilitation Exercise for Relieving Dysphagia in Patients with Craniocerebral Injury

OBJECTIVE To explore the clinical effects of neuromuscular electrical stimulation combined with swallowing training for relieving dysphagia in patients with craniocerebral injury， providing reference basis for further study. METHODS 90 patients with craniocerebral injury suffered from dysphagia were selected and divided into A， B， C groups. Patients in group A received conventional treatment and rehabilitation exercise. Patients in group B were also given neuromuscular electrical stimulation and combined all the treatment in group A. Neuromuscular electrical stimulation and moxibustion therapy were added for patients in group C. The swallowing function， dysphagia degree and the quality of daily life were compared before and after the treatment. RESULTS The total effective rate in the three groups was 93.3%， 73.3% and 53.3% respectively with statistically significant differences (P<0.05). The VFG scores after treatment were higher than those before treatment in all the groups， showing statistically significant differences (P<0.05). The WST scores after treatment were lower than those before treatment in the three groups with statistically significant differences (P<0.05). The VFG score of group C were higher than that of group A and group B after treatment， which showed statistically significant differences (P<0.05). The WST score of group C were lower than that of group A and group B after treatment， indicating statistically significant differences (P<0.05). The SWAL-QOL scores after treatment were lower than those before treatment in all the groups with statistically significant differences (P<0.05). The SWAL-QOL score in group C were lower than that of both group A and B after treatment， which showed statistically significant differences (P<0.05). CONCLUSION Neuromuscular electrical stimulation combined with acupuncture and rehabilitation exercise can significantly improve patients' swallowing function and quality of life.