• World Neurosurg · Oct 2024

    Application of swallowing-feeding management combined with transcranial electrical stimulation in patients with mild craniocerebral trauma with dysphagia.

    • Li Zhang and Li Cui.
    • The Department of Neurosurgery, Beijing Ditan Hospital Capital Medical University, Beijing, China; The Department of Neurosurgery, Rehabilitation Hospital Affiliated to National Research Center for Rehabilitation Technical Aids, Beijing, China.
    • World Neurosurg. 2024 Oct 15.

    BackgroundMild craniocerebral trauma (CCT) can lead to various neurological and functional impairments, including dysphagia. Dysphagia refers to difficulties with swallowing, which can significantly impact a person's ability to eat, drink, and maintain proper nutrition.ObjectiveTo explore the application of swallowing-feeding management combined with transcranial electrical stimulation in CCT patients with dysphagia.MethodsOne hundred ten patients with mild CCT with dysphagia treated in our hospital from January 2021 to August 2022 were divided into 2 groups: Combined transcranial electrical stimulation with swallowing-feeding management group (n = 55) and swallowing-feeding management group (n = 55). The clinical data, clinical efficacy, swallowing function, and nutritional status before treatment and 2, 4, and 6 weeks after treatment were compared between the 2 groups.ResultsThe combined treatment group exhibited significantly superior therapeutic outcomes compared to the swallowing-feeding management group (χ2 = 6.346, P = 0.042). Notably, following treatment, patients in the combined treatment group demonstrated notably improved swallowing function in contrast to those in the swallowing-feeding management group (treatment duration: 2 weeks, t = 5.145, P < 0.0001; 4 weeks, t = 12.756, P < 0.0001; 6 weeks, t = 25.968, P < 0.0001). Additionally, post-treatment, patients in the combined treatment group exhibited significantly enhanced nutritional status compared to those in the swallowing-feeding management group (χ2 = 14.611, P = 0.002).ConclusionsSwallowing-feeding management combined with transcranial electrical stimulation is effective in CCT patients with dysphagia.Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

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