| 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. |
