| 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. |
