咽部球囊压力反馈训练治疗脑干病变吞咽障碍患者咽缩肌无力的疗效观察  

The effects of pharyngeal pressure feedback training on pharynx constriction caused by brainstem lesions

作　　者：史静 武惠香[1] 万桂芳[1] 林依秋 贺子桐 温红梅[1] 陈华玉 杨晨 卫小梅[1] Shi Jing;Wu Huixiang;Wan Guifang;Lin Yiqiu;He Zitong;Wen Hongmei;Chen Huayu;Yang Chen;Wei Xiaomei(Department of Rehabilitation Medicine,The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China)

机构地区：[1]中山大学附属第三医院康复医学科,广州510630

出　　处：《中华物理医学与康复杂志》2021年第12期1110-1113,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：国家自然科学基金项目青年基金(81802236)。

摘　　要：目的探讨咽部球囊压力反馈训练对脑干病变吞咽障碍患者吞咽功能和咽缩肌功能的影响。方法选取脑干病变所致吞咽障碍患者20例,按随机数表法随机分为干预组和对照组,每组患者10例。对照组进行常规吞咽障碍康复治疗(包括口腔感觉运动训练、神经肌肉电刺激、球囊导管扩张术等)和假咽部球囊压力反馈训练(球囊内未注水),干预组患者在常规吞咽障碍康复治疗的基础上增加咽部球囊压力反馈训练。于治疗前和治疗2周后,对2组患者的吞咽功能进行评定,比较2组患者的上咽部压力峰值和下咽部压力峰值、功能性经口进食评级(FOIS)和FEES残留分级。结果治疗后,2组患者的上咽部压力峰值、下咽部压力峰值、FOIS和FEES分级较组内治疗前均显著改善,差异均有统计学意义(P<0.05),且治疗后,干预组的上咽部压力峰值[(76.56±15.61)mmHg]、FOIS和FEES分级均显著优于对照组治疗后(P<0.05)。结论咽部球囊压力反馈训练可显著改善脑干病变后吞咽障碍患者的吞咽功能和上咽部收缩功能。Objective To explore the effect of the pharyngeal pressure feedback training on pharyngeal constriction in persons with swallowing disorders caused by brainstem lesions.Methods Twenty patients with disordered swallowing caused by a brainstem lesion were randomly divided into a control group and an intervention group,each of 10.Both groups received routine swallowing training including oral sensorimotor training,neuromuscular stimulation and balloon catheter dilation,while the intervention group was additionally provided with two weeks of pharyngeal pressure feedback training.Before and after the treatment,both groups were evaluated in terms of the peak pressure of superior and inferior pharyngeal constriction,endoscopically and also using the functional oral intake scale.Results There was no significant difference between the two groups in any measure before the intervention.Afterward,both groups had improved significantly by all of the measurements,but the average peak upper pharyngeal pressure,the average intake scale score and the endoscopy results of the intervention group were all significantly better than the control group′s averages.Conclusions Pharyngeal pressure feedback training can significantly relieve swallowing disorders caused by brainstem lesions.

关 键 词：咽部压力反馈训练 脑干病变 咽缩肌无力 

分 类 号：R493[医药卫生—康复医学]