球囊扩张术在吞咽障碍患者中的应用效果  

Application Effect of Balloon Dilatation in Patients with Dysphagia

作　　者：林楚克[1] 周惠嫦[1] LIN Chuke;ZHOU Huichang(Foshan First People’s Hospital,Guangdong Province,Foshan 528000,China;不详)

机构地区：[1]广东省佛山市第一人民医院,广东佛山528000

出　　处：《中国医学创新》2022年第22期43-46,共4页Medical Innovation of China

摘　　要：目的:探讨吞咽障碍患者行球囊扩张术后的治疗效果进行临床研究。方法:选取2020年5月-2021年5月佛山市第一人民医院收治的60例吞咽障碍的患者,将患者按照随机数字表法分为研究组和对照组,每组30例。对照组接受常规吞咽康复训练,研究组在对照组基础上接受球囊扩张治疗。比较两组治疗前后的吞咽通过时间、呛咳情况、标准吞咽功能评估表(SSA)评分、洼田饮水试验评分、生活质量评分表(SF-36)评分。结果:治疗后,研究组患者的吞咽通过时间为(0.12±0.05)min,短于对照组的(0.16±0.06)min,差异有统计学意义(P<0.05)。研究组呛咳发生率为10.00%,低于对照组的33.33%,差异有统计学意义(P<0.05)。治疗后,研究组洼田饮水试验评分为(1.90±0.20)分,低于对照组的(2.20±0.50)分,研究组SSA评分为(21.43±3.45)分,低于对照组的(24.03±3.75)分,差异均有统计学意义(P<0.05)。治疗后,研究组SF-36量表各维度评分均高于对照组,差异均有统计学意义(P<0.05)。两组患者均未发生误吸、脱水、营养不良等情况。结论:吞咽障碍者使用球囊扩张术治疗的临床效果显著,可以有效改善吞咽功能,缩短吞咽通过时间,且能够提高生活质量。Objective:To explore the therapeutic effect of balloon dilatation in patients with dysphagia for clinical research.Method:A total of 60 patients with dysphagia admitted to the Foshan First People’s Hospital from May 2020 to May 2021 were selected,they were randomly divided into study group and control group according to random number table,with 30 cases in each group.The control group received swallowing rehabilitation training,the study group received balloon dilatation on the basis of the control group.The swallowing passage time,choking condition,standard swallowing function assessment scale (SSA) score,scores of drinking water experiment and life quality scale (SF-36) before and after treatment were compared between two groups.Result:After treatment,the swallowing transit time in the study group was (0.12±0.05) min,which was shorter than (0.16±0.06) min in the control group,the difference was statistically significant (P<0.05).The incidence of choking in the study group was 10.00%,which was lower than 33.33% in the control group,the difference was statistically significant (P<0.05).After treatment,the experimental score of drinking water in the study group was (1.90±0.20) points,which was lower than (2.20±0.50) points in the control group,and the SSA score in the study group was (21.43±3.45) points,which was lower than (24.03±3.75) points in the control group,the differences were statistically significant (P<0.05).After treatment,the all dimension scores of SF-36 scale in the study group were higher than those in the control group,the differences were statistically significant (P<0.05).There were no symptoms of aspiration,dehydration and malnutrition in two groups.Conclusion:The clinical effect of balloon dilatation in the treatment of dysphagia is remarkable,which can effectively improve swallowing function,shorten the swallowing transit time,and improve the quality of life.

关 键 词：球囊扩张术 吞咽障碍 吞咽康复训练 

分 类 号：R493[医药卫生—康复医学]