经鼻及经口球囊扩张术治疗环咽肌失弛缓症

The Feasibility of Nasal and Oral Balloon Dilation to Treat Cricopharyngeal Achalasia in Clinical Comparison

目的:探讨经鼻及经口球囊扩张术治疗环咽肌弛缓症的可行性比较。方法:将60例脑卒中及脑外伤吞咽障碍患者随机分为试验组30例和对照组30例,对照组给予经鼻球囊扩张术,试验组给予经口球囊扩张术,两组均同时辅以吞咽电刺激疗法、间接训练法及直接训练法。实施该操作50 d,观察并比较两组患者治疗后较治疗前心率增加的次数、患者接受率。结果:试验组患者扩张治疗后心率增加的次数明显低于对照组,患者接受率明显高于对照组,比较差异均有统计学意义(P<0.05)。结论:经口球囊扩张术较经鼻球囊扩张术可行性更高。

Objective： To compare the feasibility of nasal and oral balloon dilatation to treat cricopharyngeal achalasia.Method： Sixty stroke and traumatic brain injury patients with dysphagia were randomly divided into the experimental group for 30 cases and the control group for 30 cases.The control group was given nasal balloon dilatation, the experimental group was given oral balloon dilatation, the two groups were supplemented by swallowing electrical stimulation therapy, indirect and direct training method.50 days later, compare The increased number of heart rate and patients acceptance rate were observed and compared after underwent the operation for 50 days.Result： The increased number of heart rate was significantly lower than the control group, and patients acceptance rate of experimental group was significantly higher than the control group, there were statistically significant differences （ P〈0.05 ） .Conclusion： Oral balloon dilatation is more feasible than nasal balloon dilatation.