| Objective: This study aims to explore the therapeutic effect of family participatory oral and pharyngeal exercise training combined with repetitive transcranial magnetic stimulation (rTMS) on post-stroke dysphagia (PSD). Methods: A total of 110 PSD patients admitted to our hospital from January 2022 to December 2023 were randomly separated into a control group and a combination group, with 55 patients in each group. The control group received rTMS treatment, while the combination group received family participation oral and pharyngeal exercises training. Two groups were compared in terms of difficulty in swallowing, surface electromyographic results, activity of the hyoid laryngeal complex, nutritional status indicators, and nerve injury indicators. Results: The VDS score of the combination group was obviously lower than that of the control group (P<0.05), the swallowing duration was obviously shorter than that of the control group (P<0.05), and the maximum amplitude of electromyography was obviously higher than that of the control group (P<0.05). The levels of serum prealbumin (PAB), albumin (ALB), hyoid bone displacement, anterior displacement, thyroid cartilage displacement, anterior displacement distance, and transferrin (TRF) in the combination group were obviously higher than those in the control group (P<0.05). The levels of neuropeptide Y (NPY), neural specific enolase (NSE), and cone like protein 1 (VILIP-1) in the combination group were obviously lower than those in the control group (P<0.05). Conclusion: The combined intervention of the above two regimens can effectively improve the nutritional status of PSD patients and enhance swallowing function, with ideal results and high clinical application value. |