史静,武惠香,万桂芳,等.咽部球囊压力反馈训练治疗脑干病变吞咽障碍患者咽缩肌无力的疗效观察[J].中华物理医学与康复杂志,2021,43(12):1110-1113
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| 咽部球囊压力反馈训练治疗脑干病变吞咽障碍患者咽缩肌无力的疗效观察 |
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| DOI：10.3760/cma.j.issn.0254-1424.2021.12.012 |
| 中文关键词: 咽部压力反馈训练 脑干病变 咽缩肌无力 |
| 英文关键词: Pharyngeal pressure Feedback training Brainstem lesions Pharynx constriction |
| 基金项目:国家自然科学基金项目青年基金（81802236） |
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| 中文摘要: |
| 目的 探讨咽部球囊压力反馈训练对脑干病变吞咽障碍患者吞咽功能和咽缩肌功能的影响。 方法 选取脑干病变所致吞咽障碍患者20例，按随机数表法随机分为干预组和对照组，每组患者10例。对照组进行常规吞咽障碍康复治疗（包括口腔感觉运动训练、神经肌肉电刺激、球囊导管扩张术等）和假咽部球囊压力反馈训练（球囊内未注水），干预组患者在常规吞咽障碍康复治疗的基础上增加咽部球囊压力反馈训练。于治疗前和治疗2周后，对2组患者的吞咽功能进行评定，比较2组患者的上咽部压力峰值和下咽部压力峰值、功能性经口进食评级（FOIS）和FEES残留分级。 结果 治疗后，2组患者的上咽部压力峰值、下咽部压力峰值、FOIS和FEES分级较组内治疗前均显著改善，差异均有统计学意义(P＜0.05)，且治疗后，干预组的上咽部压力峰值［（76.56±15.61）mmHg］、FOIS和FEES分级均显著优于对照组治疗后(P＜0.05)。 结论 咽部球囊压力反馈训练可显著改善脑干病变后吞咽障碍患者的吞咽功能和上咽部收缩功能。 |
| 英文摘要: |
| Objective To explore the effect of the pharyngeal pressure feedback training on pharyngeal constriction in persons with swallowing disorders caused by brainstem lesions. Methods Twenty patients with disordered swallowing caused by a brainstem lesion were randomly divided into a control group and an intervention group, each of 10. Both groups received routine swallowing training including oral sensorimotor training, neuromuscular stimulation and balloon catheter dilation, while the intervention group was additionally provided with two weeks of pharyngeal pressure feedback training. Before and after the treatment, both groups were evaluated in terms of the peak pressure of superior and inferior pharyngeal constriction, endoscopically and also using the functional oral intake scale. Results There was no significant difference between the two groups in any measure before the intervention. Afterward, both groups had improved significantly by all of the measurements, but the average peak upper pharyngeal pressure, the average intake scale score and the endoscopy results of the intervention group were all significantly better than the control group′s averages. Conclusions Pharyngeal pressure feedback training can significantly relieve swallowing disorders caused by brainstem lesions. |
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