Application of Swallowing-Feeding Management Combined with Transcranial Electrical Stimulation in Patients with Mild Craniocerebral Trauma with Dysphagia

Abstract

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. METHODS110 patients with mild craniocerebral trauma with dysphagia treated in our hospital from January 2021 to August 2022 were divided into two 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 two 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). CONCLUSIONSwallowing-feeding management combined with transcranial electrical stimulation is effective in CCT patients with dysphagia.