摘要
目的通过吞咽造影评价改良球囊扩张技术在脑卒中后吞咽障碍患者中的临床价值。方法收集66例脑卒中后吞咽障碍患者,将其随机分为两组,对照组进行常规吞咽康复训练,观察组在对照组基础上增加球囊扩张技术,运用吞咽造影对两组患者在咽通过时间及功能性经口摄食量表(FOIS)评价分析进行比较。结果两组患者治疗后及吞咽训练前后的咽通过时间差异均具有统计学意义(P<0.01),还可发现经过球囊扩张训练的观察者咽通过时间缩短更多,效果更好;对两组患者治疗前后进行FOIS量表评定,两组患者在治疗前的FOIS评分无显著性差异(P>0.05),两组患者治疗后及吞咽训练前后的FOIS评分结果差异均具有统计学意义(P<0.05)。结论吞咽造影技术可有效评估改良球囊扩张技术在脑卒中后吞咽障碍患者中的临床效果,改良球囊扩张技术改善吞咽障碍效果显著。
Objective To evaluate the clinical value of modified balloon dilation technique in patients with dysphagia after stroke by Swallowing imaging.Methods Sixty-six patients with dysphagia after stroke in our hospital were collected and randomly divided into two groups.The control group received routine swallowing rehabilitation training,and the observation group added balloon dilation technology on the basis of the control group.Results The difference of pharyngeal passage time between the two groups after treatment and before and after swallowing training was statistically significant(P<0.01).It was also found that the time of pharyngeal passage of the observer after balloon dilation training was shortened more and the effect was better.FOIS scale before and after treatment was used to evaluate the two groups of patients.There was no significant diSerence in FOIS score between the two groups before treatment(P>0.05),while the difierence in FOIS score between the two groups after treatment and before and after swallowing training was statistically significant(P<0.05).Conclusion Swallowing imaging technique can efiectively evaluate the clinical efiect of modified balloon dilatation technique in patients with dysphagia after stroke.
出处
《浙江临床医学》
2021年第2期185-186,共2页
Zhejiang Clinical Medical Journal
基金
杭州市科技发展计划项目(20180533B55)。
