| 王忠林,罗君,祝波,沈俊明,陈创,杜书兰,黄婉苹,黄明勇.球囊扩张术联合全息按摩治疗环咽肌失弛缓症的临床观察[J].中国康复,2023,38(12):711-715 |
| 球囊扩张术联合全息按摩治疗环咽肌失弛缓症的临床观察 |
| Clinical observation of balloon dilatation combined with holographic massage for cricopharyngeal achalasia |
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| DOI： |
| 中文关键词: 球囊扩张术 全息疗法 环咽肌失弛缓症 |
| 英文关键词: balloon dilatation holographic therapy cricopharyngeal achalasia |
| 基金项目:湖北省卫生健康委科研项目（WJ2021F088）；湖北省卫生健康委科研项目（ZY2023F117）；随州市卫生健康委科研项目（2021SZ32014） |
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| 中文摘要: |
| 目的：观察球囊扩张术联合全息按摩治疗环咽肌失弛缓症的疗效。 方法：选择42例脑卒中后环咽肌失弛缓症患者，随机分为基础组和全息组各21例。2组均进行脑卒中常规治疗，基础组在常规治疗的基础上加用球囊扩张术治疗，全息组在常规治疗的基础上加用全息按摩联合球囊扩张术治疗。在治疗前和治疗4周后，分别行吞咽功能评定、心理评定，比较2组患者电视荧光吞咽造影检查（VFSS）评分、抑郁自评量表（SDS）评分、焦虑自评量表（SAS）评分。在治疗前、治疗2周后、治疗4周后，分别行球囊扩张术并发症评定，比较2组患者咽部数字评分量表（NRS）评分、诱发呕吐累计发生率。 结果：治疗4周后，2组患者VFSS评分均较前升高（P＜0.05），SDS评分、SAS评分均较前降低（P＜0.05），且全息组优于基础组（P＜0.05）；2组患者NRS评分治疗4周时低于治疗2周时低于治疗1d时，且全息组优于基础组；2组患者各时间点诱发呕吐累计发生率比较差异无统计学意义，但治疗2周时与治疗1d时差值、治疗4周时与治疗1d时差值，基础组均大于全息组（P＜0.05）。结论：球囊扩张术联合全息按摩治疗环咽肌失弛缓症疗效确切，依从性高，值得应用于临床。 |
| 英文摘要: |
| Objective: To observe the efficacy of balloon dilatation combined with holographic massage for cricopharyngeal achalasia. Methods: Totally, 42 patients with cricopharyngeal muscle achalasia after stroke were selected and randomly divided into basal and holography groups, with 21 patients in each group. Both groups were given conventional treatment for stroke. The basic group received balloon dilatation, and the holography group was treated with holographic massage combined with balloon dilatation, additionally. Before and 4 weeks after treatment, swallowing function assessment and psychological assessment were done. The TV fluorescent swallowing contrast examination (VFSS) score, depression self-rating scale (SDS) score and anxiety self-rating scale (SAS) score were compared between two groups. Before and 2 weeks and 4 weeks after treatment, the complications of balloon dilatation were assessed separately, and the pharyngeal score scale (NRS) score and cumulative incidence of induced vomiting were compared. Results: After 4 weeks of treatment, the VFSS score increased (P<0.05), and the SDS and SAS scores decreased (P<0.05) in both groups as compared with those before treatment, and those in the holography group were better than in the basic group (P<0.05). The NRS score in both groups was lower at 4th week than in 2nd week and 1st day, and that in the holography group was better than in the basic group (P<0.05). There was no difference in the cumulative incidence of induced vomiting at each time point between two groups, but the difference between 2-week treatment and 1-day treatment, and between 4-week treatment and 1-day treatment 1d in the basic group was greater than in the holography group. Conclusion: Balloon dilatation with holographic massage has definite efficacy and high compliance for cricopharyngeal achalasia, which is worthy of clinical application. |
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