| 王珊珊,顾莹,苗莉莉,刘敏,王晓娜,张春华.舌压抗阻反馈训练系统联合球囊扩张术在环咽肌失弛缓症治疗上的疗效观察[J].中国康复,2020,35(1):31-34 |
| 舌压抗阻反馈训练系统联合球囊扩张术在环咽肌失弛缓症治疗上的疗效观察 |
| Efficacy of tongue pressure resistance feedback training system combined with balloon dilatation therapy for hypoharyngeal dysplasia |
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| 中文关键词: 舌压抗阻反馈训练 环咽肌失弛缓 吞咽X线荧光透视检查 功能性经口进食量表 |
| 英文关键词: tongue pressure resistance feedback training therapy hypoharyngeal dysplasia videofluoroscopic swallowing study functional oral intake scale |
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| 中文摘要: |
| 目的：研究舌压抗阻反馈训练系统联合球囊扩张术治疗环咽肌失弛缓症的疗效。方法：将环咽肌失弛缓患者30例，随机分为舌压抗阻反馈训练组、球囊扩张组以及联合组，每组10例。3组患者均予神经科药物治疗和常规吞咽功能障碍康复训练，包括冷刺激以及吞咽肌肉相关训练，门德尔松法为主的吞咽训练手段等。舌压抗阻组在此基础上应用IOPI舌压抗阻训练系统给予舌压抗阻反馈训练；球囊扩张组予以球囊扩张术，联合组予以舌压抗阻训练联合球囊扩张训练。以吞咽X线荧光透视检查(VFSS)、功能性经口进食量表（FOIS）评分做为评估手段,在治疗前以及治疗后作出功能评价，同时评估其进食方式的改变。结果：治疗后，3组患者VFSS及FOIS评分与治疗前比较均明显升高 (均P<0.05)；治疗后，联合组VFSS评分、FOIS评分均高于舌压组以及球囊扩张组 (均P<0.05)，球囊扩张组VFSS评分以及FOIS评分高于舌压组（P<0.05）。治疗后，联合组、舌压组和球囊扩张组患者治疗后经口进食比例均显著高于治疗前（均P<0.05），联合组与球囊扩张组比较差异无统计学意义，2组经口进食比例均明显高于舌压组（均P<0.05）。结论：舌压抗阻反馈训练联合球囊扩张可以改善环咽肌失弛缓症所致吞咽障碍，提高患者生活质量。 |
| 英文摘要: |
| Objective: To study the effectiveness of tongue pressure resistance feedback training system combined with balloon dilatation in the treatment of hypoharyngeal dysplasia. Methods: Thirty patients with hypoharyngeal dysplasia were randomly divided into the tongue pressure resistance training group, the balloon dilatation group and the combined group (n=10 each). All patients in three groups were given routine rehabilitation training for swallowing dysfunction, including cold stimulation and swallowing muscle related training, electrical stimulation of pharynx muscles, and Mendelssohn methods. Additionally, the patients in tongue pressure resistance group were given tongue pressure resistance feedback training (tongue pressure resistance training system), those in balloon dilatation group were given balloon dilatation, and those in combined group were given tongue pressure resistance training combined with balloon expansion training. Videofluoroscopic swallowing study (VFSS) and functional oral intake scale (FOIS) were used as assessment methods, and functional evaluations were made before and after treatment. Changes in the way they ate were also assessed. Results: The VFSS and FOIS scores of the three groups after treatment were significantly higher than those before treatment (P<0.05). The VFSS score and FOIS score in the combined group were higher than those in the tongue pressure resistance feedback group and the balloon dilatation group after treatment (P<0.01). The VFSS score and FOIS score in the balloon dilatation group after treatment were higher than those in the tongue pressure resistance feedback group (P<0.01). After treatment, patients in the combined group, tongue pressure group, and balloon dilatation group had significantly higher oral intake after treatment than before treatment (P<0.05). There was no significant difference between the combined group and the balloon dilatation group. The proportion of oral eating was significantly higher in the combined group and the balloon dilatation group than that in the tongue pressure group (P<0.05). Conclusion: Tongue pressure resistance feedback training combined with balloon dilatation can improve dysphagia caused by hypoharyngeal dysplasia and improve the quality of life of patients. |
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