实用老年医学

实用老年医学 ›› 2025, Vol. 39 ›› Issue (2): 158-161.doi: 10.3969/j.issn.1003-9198.2025.02.011

• 临床研究 • 上一篇    下一篇

呼吸功能训练联合球囊扩张术对卒中后环咽肌失弛缓症的康复治疗效果

梁秀言, 罗丁元, 房国昌, 于同, 阴涛   

  1. 271000 山东省泰安市,青岛大学附属泰安市中心医院康复医学科(梁秀言,罗丁元,于同,阴涛);271000 山东省泰安市,上高社区卫生服务中心(房国昌)
  • 收稿日期:2024-04-03 出版日期:2025-02-20 发布日期:2025-03-03
  • 通讯作者: 阴涛,Email: yintaokfk@163.com
  • 基金资助:
    泰安市科技创新发展项目(2020NS237,2022NS166);国家临床重点专科经费资助

Effect of respiratory function training combined with balloon dilation on the rehabilitation of cricopharyngeal muscle achalasia

LIANG Xiuyan, LUO Dingyuan, FANG Guochang, YU Tong, YIN Tao   

  1. Department of Rehabilitation Medicine, the Affiliated Taian City Central Hospital of Qiongdao University, Tai'an 271000, China (LIANG Xiuyan, LUO Dingyuan, YU Tong, YIN Tao); Shanggao Community Health Service Center, Tai'an 271000, China (FANG Guochang)
  • Received:2024-04-03 Online:2025-02-20 Published:2025-03-03
  • Contact: YIN Tao, Email: yintaokfk@ 163. com

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摘要： 目的 探讨呼吸功能训练联合球囊扩张术对脑卒中后环咽肌失弛缓症(CPA)病人吞咽功能的康复治疗效果。 方法 选取2020年10月至2023年10月泰安市中心医院收治的60例脑卒中后CPA病人为研究对象,按随机数表法分为对照组与观察组,每组30例。对照组采用基础治疗+球囊扩张术,观察组在对照组治疗基础上联合呼吸功能训练。比较2组治疗前后的经口摄食评估分级(FOIS),舌骨下肌群表面肌电的平均肌电值(AEMG)、均方根(RMS),以及电视荧光吞咽造影检查(VFSS)的吞咽障碍程度和呼吸功能指标最大呼气肌压力(MEP)、FVC 、最大吸气肌压力(MIP)的差异。 结果 治疗后,2组FOIS、AEMG、RMS、VFSS吞咽障碍分级、FVC、MIP、MEP均较治疗前有明显改善(P＜0.05),且与对照组比较,观察组的上述指标改善更明显(P＜0.05)。 结论 呼吸功能训练联合球囊扩张术可以更显著地改善CPA病人的吞咽功能,值得临床推广应用。   

关键词: 呼吸功能训练, 环咽肌失弛缓症, 球囊扩张, 康复治疗, 脑卒中

Abstract: Objective To explore the rehabilitation effect of respiratory function training combined with balloon dilation on swallowing function in the cerebral stroke patients with cricopharyngeal muscle achalasia (CPA). Methods A total of sixty stroke patients with CPA admitted to Taian City Central Hospital from October 2020 to October 2023 were enrolled in this study. They were randomly divided into the control group and the observation group using a random number table method, with 30 cases in each group.The control group received basic treatment and balloon dilation, while the observation group received respiratory function training additionally. The rehabilitation treatment effects including the grade of Functional Oral Intake Scale (FOIS), surface averaged electromyography (AEMG) and root mean square (RMS) values of the subhyoid muscle group, the score of videofluorographic swallowing study (VFSS), and respiratory function indicators such as maximum expiratory pressure (MEP), forced vital capacity(FVC) and maximum indoiratory pressure(MIP) of the two groups were compared. Results After treatment, the grade of FOIS, AEMG, RMS, VFSS scores, FVC, MIP and MEP showed significant improvements in the two groups(P<0.05), especially in the observation group (P<0.05). Conclusions The combination of respiratory function training and balloon dilation can significantly improve the swallowing function of the patients with CPA, which is worthy of further clinical promotion.

Key words: respiratory function training, cricopharyngeal muscle achalasia, balloon dilation, rehabilitation therapy, stroke

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