经口球囊扩张术对脑卒中后环咽肌失弛缓的疗效分析  

Analysis on curative effects of oral Balloon dilationin treatment of cricopharyngeal achalasia after stroke

作　　者：麦海涛[1] MAI Haitao(Department of Rehabilitation Medicine,Maoming People’s Hospital,Maoming 525000,China)

机构地区：[1]广东省茂名市人民医院康复医学科

出　　处：《中国医药科学》2019年第23期293-296,共4页China Medicine And Pharmacy

摘　　要：目的探讨经口球囊扩张术对脑卒中后环咽肌失弛缓的临床疗效。方法选取2016年1月~2018年1月我院就诊的脑卒中后环咽肌失弛缓患者80例,按照随机数字表法分为观察组(经口球囊扩张术联合常规康复训练,40例)和对照组(常规康复训练,40例),疗程2周。比较两组患者的吞咽功能、吞咽障碍程度(VFSS评分、咽通过时间)、负性情绪(HAMA评分、SDS评分)以及并发症情况。结果治疗后,观察组患者吞咽功能与对照组比较,差异有统计学意义(P <0.05);观察组患者VFSS评分高于对照组,咽通过时间短于对照组,差异有统计学意义(P <0.05);观察组患者HAMA评分、SDS评分低于对照组,差异有统计学意义(P <0.05);两组患者并发症发生率比较,差异无统计学意义(P> 0.05)。结论经口球囊扩张术治疗脑卒中后环咽肌失弛缓能提高疗效,降低负性情绪,且较为安全。Objective To explore clinical curative effects of oral balloon dilation in treatment of cricopharyngeal achalasia after stroke. Methods Eighty patients with cricopharyngeal achalasia after stroke who were treated in our hospital from January 2016 to January 2018 were selected. According to the random number table method, they were divided into the observation group(oral balloon dilation combined with routine rehabilitation training, n=40) and the control group(routine rehabilitation training, n=40). The course of treatment was 2 weeks. Swallowing function, degree of dysphagia(VFSS score, passage time of pharynx), negative emotion(HAMA score, SDS score) and complications of the two groups were compared. Results After treatment, there were statistically significant differences in swallowing function between the observation group and the control group(P < 0.05).The VFSS score of the observation group was higher than that of the control groupand the passage time of pharynx was shorter than that of the control group. The difference was statistically significant(P < 0.05). HAMA score and SDS score in the observation group were lower than those in the control group, and the difference was statistically significant(P < 0.05). There was no statistically significant difference in the incidence of complications between the two groups(P > 0.05). Conclusion Oral balloon dilation in treatment of cricopharyngeal achalasia after stroke can improve the curative effects and reduce negative emotions, which is relatively safe.

关 键 词：经口球囊扩张术 常规康复训练 脑卒中 环咽肌失弛缓 

分 类 号：R743.3[医药卫生—神经病学与精神病学]