Abstract
The impacts of vagus nerve stimulation on swallowing function and serum growth differentiation factor-15, C-reactive protein, and Visinin like protein-1 in patients with swallowing disorders after pontine infarction
  
DOI:10.3870/zgkf.2026.06.006
EN KeyWords: pontine infarction  swallowing disorders  vagus nerve stimulation  swallowing function  GDF-15  CRP  VILIP-1
Fund Project:邯郸市科学技术研究与发展计划(24422083035ZC)
作者单位
赵玉芹 河北省邯郸市中心医院康复医学科,河北邯郸056002 
刘耀庭 浙江理工大学 
高月敏 河北省邯郸市中心医院康复医学科,河北邯郸056002 
田遂 河北省邯郸市中心医院康复医学科,河北邯郸056002 
吕学海 河北省邯郸市中心医院康复医学科,河北邯郸056002 
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EN Abstract:
  Objective: To explore the impacts of vagus nerve stimulation (VNS) on swallowing function and serum growth differentiation factor-15 (GDF-15), C-reactive protein (CRP), and Visinin like protein-1 (VILIP-1) in patients with swallowing disorders after pontine infarction. Methods: From June 2024 to June 2025, 80 patients with swallowing disorders after pontine infarction in our hospital were randomly assigned into an electrical stimulation group [using neuromuscular electrical stimulation (NMES) on the basis of routine swallowing rehabilitation training, 40 cases] and a magnetic stimulation group (using VNS on top of routine swallowing rehabilitation training, 40 cases). The swallowing function, serological indicators, surface electromyography, and quality of life were compared. Results: After therapy, the scores of the standard swallowing function assessment scale (SSA) decreased in both groups, and the score of the magnetic stimulation group was prominently lower (P<0.01). After therapy, GDF-15, CRP, and VILIP-1 all decreased in both groups, and the indicators were prominently lower in the magnetic stimulation group (P<0.01). After therapy, both groups showed an increase in maximum wave amplitude and a decrease in swallowing duration, with the magnetic stimulation group showing more prominent changes (P<0.01). After therapy, the swallowing-quality of life scale (SWAL-QOL) increased in both groups, and the magnetic stimulation group scored prominently higher (P<0.01, 0.05). Conclusion: VNS can effectively improve the swallowing function of patients with swallowing disorders after pontine infarction, reduce GDF-15, CRP, and VILIP-1, enhance pharyngeal surface muscle function, and improve quality of life.
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