导尿管球囊扩张术对脑卒中后环咽肌失弛缓所致吞咽障碍患者的影响  

Impact of Urinary Catheter Balloon Dilatation on Dysphagia Caused by Cricopharyngeal Achalasia in Stroke Patients

作　　者：唐桂华[1] 马荣[1] 黄龙龙[1] 丘东海[1] 苗海锋[1] 黄小琼[1] 杜海兰[1] 肖卫民[1] 

机构地区：[1]广东省东莞市人民医院神经内科,523000

出　　处：《实用心脑肺血管病杂志》2017年第3期91-93,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：广东省医学科研基金项目(A2011706);东莞市科技局科技项目(201110515001092)

摘　　要：目的探讨导尿管球囊扩张术对脑卒中后环咽肌失弛缓所致吞咽障碍患者的影响。方法选取2013年2月—2015年7月东莞市人民医院收治的脑卒中后环咽肌失弛缓所致吞咽障碍患者88例,采用随机数字表法分为对照组和观察组,每组44例。对照组患者给予常规康复治疗,观察组患者在对照组基础上加用尿导管球囊扩张术;治疗终点为患者经口进食或治疗6周。比较两组患者吞咽功能康复效果、治疗后吞咽进食情况及治疗前后咽通过时间、吞咽造影检查(VFSS)评分,观察两组患者治疗期间并发症发生情况。结果观察组患者吞咽功能康复效果优于对照组(P<0.05)。治疗后观察组患者可进水、可进食流质物、可进食糊状物、可进食固体食物者所占比例均高于对照组(P<0.05)。治疗前两组患者咽通过时间和VFSS评分比较,差异无统计学意义(P>0.05);治疗后观察组患者咽通过时间短于对照组,VFSS评分高于对照组(P<0.05)。两组患者治疗期间均未出现严重并发症。结论导尿管球囊扩张术能有效改善脑卒中后环咽肌失弛缓所致吞咽障碍患者吞咽功能,有利于缩短吞咽功能恢复时间,促进患者康复,且安全性较高。Objective To investigate the impact of urinary catheter balloon dilatation on dysphagia caused by erlcopharyngeal achalasia in stroke patients. Methods A total of 88 stroke patients complicated with dysphagia caused by cricopharyngeal achalasia were selected in the People＇s Hospital of Dongguan from February 2013 to July 2015, and they were divided into control group and observation group according to random number table, each of 44 cases. Patients of control group received conventional rehabilitation therapy, while patients of observation group received extra urinary catheter balloon dilatation based on conventional rehabilitation therapy; both groups treated for 6 weeks or till to oral- feeding. Rehabilitation effect of swallowing function, swallowing and eating status, pharynx passing time and video fluoroscopy swallowing study （VFSS） score before and after treatment were compared between the two groups, and incidence of complications during the treatment was observed. Results Rehabilitation effect of observation group was statistically significandy better than that of control group （P〈 0. 05 ）. The proportion of patients can flooding water, can eat liquid contents, can eat paste, can eat solid food of observation group was statistically significantly higher than that of control group after treatment, respectively （ P 〈 0. 05 ）. No statistically significant differences of pharynx passing time or VFSS score was found between the two groups before treatment （ P 〉 0. 05 ） ; after treatment, pharynx passing time of observation group was statistically significantly shorter than that of control group, while VFSS score of observation group was statistically significantly higher than that of control group （ P 〈 0. 05 ）. No one of the two groups occurred any serious complications during the treatment. Conclusion Urinary catheter balloon dilatation can effectivelyimprove the swallowing function of stroke patients complicated with dysphagia caused by crieopharyngealachalasia, is helpful to s

关 键 词：卒中 吞咽障碍 咽肌 导尿管 球囊扩张术 

分 类 号：R743[医药卫生—神经病学与精神病学]