咽部球囊扩张术对脑卒中合并假性球麻痹患者吞咽障碍的治疗效果观察

发布时间：2018-04-22 14:00

本文选题：球囊扩张术 + 脑卒中　；参考：《山东医药》2016年47期

【摘要】：目的观察咽部球囊扩张术治疗脑卒中合并假性球麻痹吞咽障碍的效果。方法将44例脑卒中合并假性球麻痹且有吞咽障碍的患者随机分为观察组和对照组,各22例。两组采用常规治疗(包括对症治疗、降低颅内压、抗血小板聚集、纠正水电解质和酸碱平衡紊乱、改善微循环),观察组加用咽部球囊扩张术治疗7 d。治疗前后对两组患者行FOIS评分并评价疗效;行吞咽造影检测吞咽液体、稀、稠、固体食物时舌骨位移量和C4~C6水平食管最大前后径。结果观察组、对照组治疗前FOIS评分分别为(1.31±0.35)、(1.33±0.40)分,治疗后分别为(5.51±1.30)、(2.69±0.91)分。治疗后两组FOIS评分均高于治疗前,P均0.05;治疗后观察组FOIS评分高于对照组,P0.05。观察组治愈10例、显效6例、有效4例、无效2例,总有效率90.91%;对照组分别为4、4、3、11例和50.00%。观察组总有效率高于对照组,P0.05。两组患者治疗后吞咽液体、稀、稠、固体食物时舌骨位移量和C4~C6水平食管最大前后径均高于治疗前,P均0.05。观察组患者治疗后吞咽液体、稀、稠、固体食物时舌骨位移量和C4~C6水平食管最大前后径均高于对照组治疗后,P均0.05。结论咽部球囊扩张术治疗脑卒中合并假性球麻痹患者吞咽障碍效果满意。
[Abstract]:Objective to observe the effect of pharyngeal balloon dilatation in the treatment of stroke with pseudobulbar palsy dysphagia. Methods 44 stroke patients with pseudobulbar paralysis and dysphagia were randomly divided into observation group and control group with 22 cases each. The two groups were treated with routine therapy (including symptomatic treatment, reduction of intracranial pressure, anti-platelet aggregation, correction of water, electrolyte and acid-base balance disorder, improvement of microcirculation). The observation group was treated with pharyngeal balloon dilatation for 7 days. Before and after treatment, the patients in both groups were evaluated with FOIS score and the maximum anterior and posterior diameter of esophagus with C4~C6 level were measured by swallowing contrast examination of hyoid bone displacement, dilute, thick, solid food. Results in the observation group, the FOIS scores of the control group were 1.31 卤0.35, 1.33 卤0.40, and 5.51 卤1.30, 2.69 卤0.91, respectively. After treatment, the FOIS score of the two groups was higher than that of the control group (P < 0.05), and the FOIS score of the observation group was higher than that of the control group (P < 0.05). In the observation group, 10 cases were cured, 6 cases were markedly effective, 4 cases were effective, 2 cases were ineffective, and the total effective rate was 90.91%, while in the control group, there were 11 cases of 4 cases of 4 cases and 50.005% of the control group, respectively. The total effective rate in the observation group was higher than that in the control group (P 0.05). The hyoid displacement and C4~C6 level of esophagus in both groups were higher than those before treatment (P < 0.05). The hyoid displacement and C4~C6 level in the observation group were higher than those in the control group after treatment (P < 0.05). Conclusion the effect of pharyngeal balloon dilatation on dysphagia in stroke patients with pseudobulbar paralysis is satisfactory.
【作者单位】：徐州市中心医院;
【分类号】：R651.1

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