改良双腔球囊导管在环咽肌失弛缓症患者中的应用  

Application of modified double-lumen balloon catheter for patients with achalasia of the cricopharyngeus muscle

作　　者：孟玲[1] 陆敏[1] 窦祖林[2] 李巧玲[1] 彭军[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院康复医学科,武汉市430030 [2]中山大学附属第三医院康复医学科

出　　处：《中华护理杂志》2010年第4期304-306,共3页Chinese Journal of Nursing

基　　金：2008年华中科技大学同济医学院附属同济医院新技术;新业务(编号:2008061)

摘　　要：目的探讨改良双腔球囊导管治疗环咽肌失弛缓症患者的可行性及安全性。方法将环咽肌失弛缓症患者50例随机分为试验组和对照组,每组各25例。两组均接受常规治疗,包括药物治疗、吞咽功能训练、摄食训练及辅以VitalStim神经肌肉低频电刺激治疗。试验组采用改良双腔球囊导管进行环咽肌扩张治疗,对照组采用14号普通导尿管进行环咽肌扩张治疗。采用洼田氏饮水试验和吞咽X线电视透视检查(VFSS)对治疗效果进行评估,评估患者黏膜水肿、出血和疼痛等并发症情况。结果治疗后两组洼田氏饮水试验和VFSS评分均明显高于治疗前(P<0.05),两组间差异无统计学意义(P>0.05)。对照组并发症的发生率明显高于试验组(P<0.05)。结论两组治疗均可有效缓解环咽肌失弛缓症,应用改良双腔球囊导管可明显减少并发症的发生。Objective To evaluate the feasibility and safety of double-lumen balloon catheter applied in patients with achalasia of cricopharyngeal muscle. Method Fifty patients with achalasia of cricopharyngeal muscle were randomly divided into experimental group and control group. All the patients received routine drug treatment,swallowing function training,feeding training and low frequency VitalStim electric stimulation. In addition,double-lumen balloon catheter and #14 urinary catheters were applied to patients in the experimental group and control group,respectively. The swallow water tests and video fluoroscopy swallowing study（VFSS） were used to evaluate the treatment effects,the electron-nasopharyngolaryngoscope was used to assess bleeding and swelling of mucous membrane,and VRS-5 was used to assess pain. Result After treatment,the scores of swallow water tests and VFSS were significantly better than those before treatment in both groups （P〈0.05）. There was no significant difference between the two groups （P〉0.05）. However,the incidence of complications was significantly higher in the control group than that of experimental group （P〈0.05）. Conclusion Both treatment methods can effectively relieve the achalasia of cricopharyngeal muscle,but modified double-lumen balloon catheter can reduce the incidence of complications.

关 键 词：食管括约肌 上段 导管插入术 气囊扩张术 

分 类 号：R766[医药卫生—耳鼻咽喉科]