标准Shaker训练法对环咽肌失迟缓症的疗效观察  

Therapeutic Effects of Standard Shaker Exercise for Patients With Neurogenic Cricopharyngeal Achalasia

作　　者：周业青 项洁 吴洁 高修明 ZHOU Yeqing;XIANG Jie;WU Jie;GAO Xiuming(Department of Rehabilitation,The Affiliated Hospital of Xuzhou Medical University,Xuzhou Jiangsu 221000,China;Clinical College,Xuzhou Medical University,Xuzhou Jiangsu 221000,China)

机构地区：[1]徐州医科大学附属医院康复科,江苏徐州221000 [2]徐州医科大学临床学院,江苏徐州221000

出　　处：《中国继续医学教育》2021年第31期178-181,共4页China Continuing Medical Education

摘　　要：目的探讨标准Shaker训练法对神经源性环咽肌失迟缓症导致吞咽障碍的疗效。方法将32例经视频吞咽造影检查(VFSS)确诊为环咽肌失迟缓症患者,按照随机数字表法分为治疗组和对照组,每组16例。对照组给予常规吞咽治疗,治疗组在常规治疗基础上予标准Shaker训练法。治疗前后给予VFSS检查,应用Rosenbek渗透-误吸评分评价误吸程度,标准化吞钡造影功能障碍评价表(MBSImP)中食管上括约肌开放程度评分评价食管括约肌开发程度,才藤吞咽障碍7级评价法评价患者吞咽功能。结果治疗前后,2组患者Resenbek渗透-误吸程度评分、MBSImP食管上括约肌开放程度评分及才藤吞咽障碍评分比较,差异均有统计学意义(P<0.05)。治疗后治疗组各项指标比对照组改善更加明显,差异有统计学意义(P<0.05)。结论标准Shaker训练法对神经源性性环咽肌失迟缓导致的吞咽障碍疗效显著,值得临床推广。Objective To investigate the therapeutic effects of standard Shaker exercise on the promotion of swallowing disorders caused by neurogenic cricopharynge-al achalasia.Methods 32 patients with dysphagia diagnosed as cricopharyngeal achalasia through VFSS were divided into treatment group and control group according to random number table method,with 16 cases in each group.The treatment group was given standard Shaker exercise and routine dysphagia rehabilitation training,while the control group was given routine dysphagia rehabilitation training only.Before treatment and after treatment,Resenbek Penetration-Aspiration Scale and upper esophageal sphincter opening degree of the modified barium swallow impairment profile(MBSImP)were assessed by VFSS,and the swallowing function of the patients was assessed by Saitoh,s 7-grade swallowing assessment.Results Before and after treatment,difference between the two groups has statistical significance in Resenbek Penetration-Aspiration Scale,upper esophageal sphincter opening degree of the MBSImP,and the Saitoh,s 7-grade(P<0.05).After treatment,all indexes of the standard Shaker exercise group were improved compared with the control group,and the differences were statistically significant,difference between the two groups has statistical significance(P<0.05).Conclusion standard Shaker exercise has a significant effect on dysphagia caused by neurogenic cricopharyngeal achalasia.

关 键 词：标准Shaker训练法 环咽肌失迟缓症 VFSS 吞咽障碍 误吸 脑卒中 

分 类 号：R687[医药卫生—骨科学]