| 孟阳,胡川,王珊珊,王欣.舌压生物反馈训练联合球囊扩张术治疗脑干梗死后吞咽障碍的疗效观察[J].中国康复,2023,38(7):393-396 |
| 舌压生物反馈训练联合球囊扩张术治疗脑干梗死后吞咽障碍的疗效观察 |
| Effectiveness of tongue pressure biofeedback training system combined with balloon dilation technique for dysphagia after cerebral stem infarction |
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| DOI： |
| 中文关键词: 吞咽障碍 舌压生物反馈训练 球囊扩张术 脑干梗死 |
| 英文关键词: dysphagia tongue pressure biofeedback training balloon dilatation technology brain stem infarction |
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| 中文摘要: |
| 目的：观察舌压生物反馈训练联合球囊扩张术治疗脑干梗死后吞咽障碍的疗效。 方法：选取脑卒中后吞咽障碍的患者60例，随机分为对照组、舌压生物反馈训练组（舌压组）、球囊扩张组（球囊组）、联合组，每组15例。4组患者均给予脑卒中常规药物治疗及康复功能训练。在此基础上，舌压组给予舌压生物反馈训练，球囊组给予球囊扩张治疗，联合组给予舌压生物反馈训练结合球囊扩张治疗。在治疗前和治疗4周后，分别对4组患者进行吞咽功能评估，比较4组患者的渗漏-误吸评分（PAS）、电视透视吞咽检查（VFSS）、功能性经口进食评分（FOIS）。结果：治疗前，4组患者PAS、 VFSS、FOIS评分比较均无统计学差异；治疗4周后，4组患者PAS、VFSS、FOIS评分均较治疗前提高（均P＜0.05），且存在交互效应(P＜0.01)；Bonferroni检验两两比较结果表明，联合组在干预后较其它3组均具有显著性差异(均P＜0.05)。结论：舌压生物反馈训练联合球囊扩张术可改善脑干梗死后的吞咽障碍，减少患者痛苦和负担。 |
| 英文摘要: |
| Objective: To observe the efficacy of tongue pressure biofeedback training system combined with balloon dilation in the treatment of dysphagia after cerebral stem infarction. Methods： A total of 60 patients with dysphagia after stroke were selected and divided into control group, tongue pressure biofeedback training system group (tongue pressure group), balloon dilation technology group (balloon group) and combined group by a random number table method, with 15 cases in each group. All the 4 groups were given conventional neurological stroke drug treatment and rehabilitation function training. The tongue pressure group was also given tongue pressure biofeedback training system, the balloon group was given balloon dilation therapy, and the combined group was given tongue pressure biofeedback training combined with balloon dilation therapy. The swallowing function of the 4 groups was evaluated before and 4 weeks after treatment, and the leakage-aspiration score (PAS), TV fluoroscopy swallowing test (VFSS), and functional oral feeding score (FOIS) of the 4 groups were compared. Results：Before treatment, there were no significant differences in PAS, VFSS and FOIS scores among the 4 groups. After 4 weeks of treatment, PAS, VFSS and FOIS scores in 4 groups were higher than those before treatment (P<0.05), and there was an interaction effect (P<0.01). The Bonferroni test showed that the combined group had a significant difference after intervention compared with the other three groups (P<0.05). Conclusion： Tongue pressure biofeedback training system combined with balloon dilatation technology can improve the dysphagia after brainstem infarction, and reduce the pain and burden of patients. |
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