导尿管球囊扩张术与电针治疗环咽肌失弛缓症的效果  

The effect of catheter balloon dilatation and electric acupuncture in the treatment of achalasia of the cricopharyngeus muscle

作　　者：李眺[1] 曾小香[1] 林蔚楠 胡荣亮[2] 毛俊[1] 蔺丽娟[1] 

机构地区：[1]珠海市人民医院,广东珠海519000 [2]江门市中心医院

出　　处：《包头医学院学报》2017年第5期10-12,15,共4页Journal of Baotou Medical College

摘　　要：目的:观察导尿管球囊扩张术与电针治疗神经性吞咽障碍环咽肌失驰缓症的临床疗效。方法:以环咽肌失驰缓症患者为研究对象,经视频吞咽造影检查(video fluoroscopic swallowing study,VFSS)确诊后随机分为球囊扩张组和针刺组两组,急性期病程为2周,每组患者治疗1次/d,5次/周,治疗2周,分别于治疗前、治疗后进行评定;恢复期病程>1月,每组患者治疗1次/d,5次/周,于治疗前、治疗后拔除胃管或治疗已满6周进行评定;应用吞咽功能障碍评价标准(洼田量表)、VFSS评价及吞咽功能临床评定标准。结果:吞咽障碍急性期,针刺组和球囊扩张术组治疗环咽肌失驰缓症,治疗前后进行洼田量表和VFSS评价,差异有统计学意义(P<0.05),且两组之间比较差异有统计学意义(P<0.05)。吞咽障碍病程>1月,针刺和球囊扩张术治疗环咽肌失驰缓症,治疗前后进行洼田量表和VFSS评价差异有统计学意义(P<0.05),两组患者之间比较差异也有统计学意义(P<0.05)。进行吞咽功能临床评价,球囊扩张治疗较针刺组差异有统计学意义(P<0.05)。结论:导尿管球囊扩张术与针刺治疗对环咽肌失驰缓症都有疗效,但球囊扩张术疗效优于针刺治疗。Objective： To observe the clinical efficacy of catheter balloon dilatation and electro-acupuncture in the treatment of achalasia of the cricopharyngeus muscle caused by neurogenic dysphagia. Methods： Patients with achalasia of the cricopharyngeus muscles were selected as the research objects and randomly divided into the balloon dilatation group and the acupuncture group after the video swallowing examination（ video fluoroscopic swallowing study,VFSS）. The acute course lasted 2 weeks when patients in each group were treated once a day and 5 times a week.The patients＇ condition was respectively assessed before and after the treatment. The recovery period lasted for more than a month during which the patients were treated once a day and 5 times a week. The patients＇ conditions were respectively assessed before the treatment and six months after the removal of the stomach tube after treatment by using the criteria for evaluation of swallowing dysfunction（ field scale）,VFSS evaluation and clinical evaluation of swallowing function. Results： In the acute stage of dysphagia,the field scale evaluation and VFSS evaluation were carried out in the process of treating achalasia of the cricopharyngeus muscle in both groups before and after the treatment,the difference being statistically significant（ P〈0. 05）. There was a significant comparative difference between the two groups（ P〈0. 05）. The course of dysphagia lasted for less than one month and in the process of treating achalasia of the cricopharyngeus muscle in both groups there was a significant difference between the evaluation of depression scale and VFSS before and after treatment（ P〈0. 05）. There was a significant difference between the two groups of patients（ P〈0. 05）. The clinical evaluation of swallowing function was observed,and the balloon dilatation was different from that of the acupuncture group（P〈0. 05）. The clinical evaluation of swallowing function was carried out,and compared with the acupuncture group,bal

关 键 词：导尿管球囊扩张术 针刺 环咽肌失驰缓症 

分 类 号：R49[医药卫生—康复医学]