冰刺激与门德尔松手法联合吞咽治疗仪治疗卒中后环咽肌失弛缓症患者的效果  

Effects of ice stimulation,Mendelssohn maneuver combined with swallowing therapeutic apparatus on patients with cricopharyngeal achalasia after stroke

作　　者：梁志党 LIANG Zhidang(Department of Rehabilitation Medicine of Puyang Oilfield General Hospital,Puyang 457001 Henan,China)

机构地区：[1]濮阳市油田总医院康复医学科,河南濮阳457001

出　　处：《中国民康医学》2023年第16期90-92,106,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察冰刺激与门德尔松手法联合吞咽治疗仪治疗卒中后环咽肌失弛缓症患者的效果。方法:选取2019年6月至2022年6月该院收治的80例卒中后环咽肌失弛缓症患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各40例。对照组采用吞咽治疗仪治疗,观察组在对照组基础上给予冰刺激和门德尔松手法治疗,两组均治疗10 d。比较两组临床疗效、治疗前后吞咽障碍分级、荧光吞咽造影检查(VFSS)评分、环咽肌扩张次数及并发症发生率。结果:观察组治疗总有效率为92.50%(37/40),高于对照组的72.50%(29/40),差异有统计学意义(P<0.05);治疗后,观察组吞咽障碍分级、VFSS评分均高于对照组,环咽肌扩张次数少于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:冰刺激与门德尔松手法联合吞咽治疗仪治疗环咽肌失弛缓症可提高患者吞咽功能,减少环咽肌扩张次数,安全性良好,效果优于单用吞咽治疗仪治疗。Objective:To observe effects of ice stimulation,Mendelssohn maneuver combined with swallowing therapeutic apparatus in treatment of cricopharyngeal achalasia after stroke.Methods:A prospective study was conducted on 80 patients with cricopharyngeal achalasia after stroke admitted to the hospital from June 2019 to June 2022.They were divided into observation group and control group according to the random number table method,40 cases in each group.The control group was treated with swallowing therapeutic apparatus,while the observation group was treated with ice stimulation and Mendelssohn maneuver on the basis of that of the control group.Both groups were treated for 10 d.The clinical efficacy,the dysphagia grading,the swallowing X-ray fluorescence angiography(VFSS)score,the number of cricopharyngeal muscle dilatation,and the incidence of complications were compared between the two groups before and after the treatment.Results:The total effective rate of treatment in the observation group was 92.50%(37/40),which was higher than 72.50%(29/40)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the dysphagia grade and the VFSS score of the observation group were higher than those of the control group,the number of cricopharyngeal muscle expansion was less than that of the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Ice stimulation,Mendelssohn maneuver combined with swallowing therapeutic apparatus for cricopharyngeal achalasia can improve the swallowing function of the patients,reduce the number of cricopharyngeal muscle dilatation,and have good safety.Moreover,it is superior to single swallowing therapeutic apparatus.

关 键 词：环咽肌失弛缓症 冰刺激 门德尔松手法 吞咽治疗仪 吞咽障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学]