摘要
目的探讨导管球囊扩张术联合精细化管理模式对脑卒中后环咽肌失弛缓症的疗效。方法选取2017年5月—2019年8月在本科行康复训练的40例脑卒中后环咽肌失弛缓症患者作为研究对象,采用随机数字表法分为试验组和对照组,各20例,对照组予以导管球囊扩张术,试验组予以导管球囊扩张术联合精细化管理模式。使用洼田饮水实验、吞咽障碍评分(VGF)、标准吞咽功能评定(SSA评分)进行疗效评价。结果两组患者的各项指标在治疗完成后均有不同程度的改善(P<0.05),试验组患者在洼田饮水实验、吞咽障碍评分(VGF)、SSA评分上的改善优于对照组(P均<0.05)。结论对脑卒中后环咽肌失弛缓症患者应用导管球囊扩张联合精细化管理模式能显著改善部分吞咽功能,有助于让患者获得更好的康复治疗效果。
Objective To investigate the effect of catheter balloon dilatation combined with refined management mode on cricopharyngeal ataxia after stroke.Methods Forty patients with post-stroke cricopharyngeal muscle dysfunction who underwent rehabilitation training in our department from May 2017 to August 2019 were selected as the research objects.They were divided into experimental group and control group by random numbers.The control group received balloon catheterization,and the experimental group received balloon catheterization combined with refined management.The Watian drinking water test,the dysphagia score(VGF),and the standard swallowing function assessment(SSA score)were used to evaluate the efficacy.Results The scores in two groups improved in varying degrees after treatment(P<0.05),and the patients in the experimental group had better improvements in the Watian drinking test,dysphagia score(VGF),and SSA score than those in the control group(P<0.05).Conclusion The application of catheter balloon dilatation combined with refined management mode in patients with cricopharyngeal dysfunction after stroke can significantly improve part of the swallowing function,which may allow patients to obtain better rehabilitation results.
作者
李良洪
刘姣
李浪
蒋玮
Li Lianghong;Liu Jiao;Li Lang;Jiang Wei(Department of rehabilitation medicine,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)
作者简介
李良洪,女,本科,护师;通信作者:蒋玮。
