To explore the rehabilitative efficacy of transcranial ultrasound stimulation (TUS) in improving the emotional status of patients with post-stroke dysphagia (PSD).
A total of 70 inpatients with poststroke dysphagia complicated by mood disorders admitted to our hospital were enrolled from October 2024 to November 2025. Patients were assigned to the control group (shamTUS group) and the observation group (TUS group) by computer-generated simple random sampling at a 1:1 ratio, with 35 patients in each group. The control group received conventional rehabilitation training plus shamTUS intervention, whereas the observation group received conventional rehabilitation training combined with 20-minute daily TUS intervention. Both groups received training 6 days per week. Swallowing function was assessed using the water swallowing test (WST), and emotional status was evaluated using the Hamilton anxiety scale (HAMA), Hamilton depression scale (HAMD), and Pittsburgh sleep quality index (PSQI) before and after 4 weeks of treatment.
After treatment, WST grade, HAMA, HAMD, and PSQI scores decreased significantly in both groups compared with baseline (P<0.05). Inter-group comparisons after treatment showed that the WST grade [2 (2, 2) vs. 3(3, 3)], HAMA score [(9.11±3.45) vs. (16.26±4.77)], HAMD score [(8.29±2.81) vs. (15.06±2.54)], and PSQI score [(10.74±1.93) vs. (13.09±2.21)] in the observation group were significantly lower than those in the control group (P<0.05).
TUS combined with conventional rehabilitation training can significantly improve the emotional status of patients with PSD, providing a reference for the comprehensive rehabilitation of patients with PSD and emotional disorders.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |