| Objective: To investigate the clinical effects of balloon dilatation combined with surface electromyography biofeedback dwelling nasogastric tubes in cricopharyngeal achalasia. Methods: Totally, 60 patients with early recovery of brain disease were selected and randomly divided into the basic, control and observation groups (n=20 each). All 3 groups received conventional treatment, including abdominal breathing training, Mendelssohn technique training, swallowing mass neuromuscular electrical stimulation, nutrition and symptomatic support therapy. Additionally, the basic group was given balloon dilatation, the control group was given balloon dilatation in sequential combination with surface electromyography biofeedback, and the observation group was given balloon dilatation in combination with surface electromyography biofeedback. Results: After 6 weeks of treatment, the functional oral intake scale (FOIS) grade, videofluoroscopic swallowing study (VFSS) scores, surface electromyogram root mean square (RMS) values of submental and subhyoid muscles and the swallowing quality of life (SWAL-QOL) scores were significantly improved in all groups as compared with those before treatment (P<0.05). In addition, the observation group was best in the FOIS grade, VFSS scores, the RMS values of submental and subhyoid muscles (P<0.05), but there were no significant differences in SWAL-QOL among three groups. All 3 groups showed no significant difference in triceps skinfold thickness before and after treatment. Conclusion: Balloon dilatation combined with surface electromyography biofeedback has significant efficacy and high compliance, for the early recovery from brain disease cricopharyngeal achalasia, which is worth further clinical promotion. |
