Treating medulla oblongata dorsolateral syndrome in patients with dysphagia by using transcranial magnetic stimulation of low frequency electric and positioning

Objective To observe the curative effect of transcranial magnetic stimulation including positioning head together with the low frequency treatment on medulla oblongata dorsolateral syndrome in patients with dysphagia. Methods Thirty cases of medulla oblongata dorsolateral syndrome with dysphagia patients from May,2013 to May,2014 Cangzhou of neurology and rehabilitation center hospital were divided into treatment group and control group by using random numbers,16 cases of treatment group and control group in 14 cases.In swallowing rehabilitation training,the treatment group was given head cupping treatment together with the low frequency therapeutic apparatus.Electric acupuncture selects the discontinuous wave,frequency 50 Hz,current strength 2 m A;Low frequency using triangle wave pulse to stimulate wave width 750 ms,amplitude 0 to 25 m A,frequency of 2 Hz,the current strength of 7.0-10.0 m A,each time for2-3 s,intermittent time is 5-6 s.Treatment 2 times/d,20 min,at a time,4 weeks for 1 course of treatment;The control group given low frequency electric therapeutic treatment,2 times/d,20 min at a time,4 weeks for 1 course of treatment.Treatment group and control group respectively in both groups before treatment,4 weeks after treatment respectively for kubota drinking water test score and VFSS score.All the data with SPSS 16.0 statistical software for data analysis,the measurement data by chi-square test,measurement data,the comparison between groups using independent t test,group in comparison with paired t test,take a 95% confidence interval. Results After 4 weeks treatment,the patients with transcranial magnetic stimulation including positioning head together with the low frequency treatment of medulla oblongata dorsolateral syndrome in patients with dysphagia Kubota drinking water test and VFSS score is better than low frequency electric therapy group (P ﹤ 0.05). Conclusion Transcranial magnetic stimulation including positioning head together with the low frequency treatment of medulla oblongata dorsolateral syndrome can further improve swallowing function,avoid aspiration,and then improve the quality of life of patients.