陈丽珊,唐志明,柯泽植,等.多靶点球囊扩张术对儿童吞咽障碍伴胃食管反流的疗效[J].中华物理医学与康复杂志,2025,47(12):1093-1098
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| 多靶点球囊扩张术对儿童吞咽障碍伴胃食管反流的疗效 |
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| DOI：10.3760/cma.j.cn421666-20250930-00852 |
| 中文关键词: 吞咽障碍 胃食管反流 儿童 球囊扩张术 |
| 英文关键词: Dysphagia Gastroesophageal reflux Pediatrics Balloon dilation |
| 基金项目:广东省医学科研基金项目（B2025017）；佛山市自筹经费类科技创新项目（2320001006957） |
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| 中文摘要: |
| 目的 观察多靶点球囊扩张术对儿童吞咽障碍伴胃食管反流的疗效。 方法 回顾性分析吞咽障碍伴胃食管反流的患儿34例，根据干预方法的不同分为对照组16例和观察组18例。2组患儿均接受常规治疗（包括药物治疗、体位管理、吞咽功能康复治疗、家庭宣教等），在此基础上，对照组采用单一环咽肌球囊扩张术进行干预，观察组则采用多靶点球囊扩张术进行干预。2组球囊扩张术干预均每日1次，每周治疗5 d，直至治疗终点（拔除鼻饲管或治疗满12周）。于治疗前和治疗12周后（治疗后）对2组患儿进行Rosenbek渗漏-误吸分级评定，并统计其总治疗天数、鼻饲管拔除率以及并发症的发生情况。 结果 治疗后，观察组患儿的Rosenbek渗漏-误吸分级显著优于对照组（P<0.05），且其总治疗天数为（35.22±25.19）d，与对照组的（55.63±28.13）d］比较，差异有统计学意义（P<0.05）。 结论 多靶点球囊扩张术可显著改善吞咽障碍伴胃食管反流儿童的吞咽功能，缩短治疗时间，其疗效优于单一的环咽肌球囊扩张术。 |
| 英文摘要: |
| Objective To assess the efficacy of multi-target sites balloon dilation in treating dysphagia with gastroesophageal reflux in children. Methods This was a retrospective analysis of the cases of 34 children with dysphagia and gastroesophageal reflux. They were divided into a control group (n=16) and an observation group (n=18) based on the intervention applied. In addition to conventional treatment including medication, posture management, swallowing training and family education, the control group received a single daily cricopharyngeal muscle balloon dilation, while the observation group underwent daily balloon dilation at multi-target sites, 5 days per week for 12 weeks or until the removal of the nasogastric tube. Before and after the treatments, both groups were assessed using the Rosenbek penetration-aspiration scale (PAS). The total number of treatment days, nasogastric tube removal and the incidence of complications were recorded. Results After treatment, the average Rosenbek PAS score in the observation group was significantly better than that in the control group. The observation group also required significantly fewer days of treatment (35.22±25.19) than the control group (55.63±28.13). Conclusions Multi-target balloon dilation can significantly improve the swallowing of children with dysphagia and gastroesophageal reflux and shorten their treatment. It is significantly more effective than single cricopharyngeal muscle balloon dilation. |
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