中国康复2023，Vol.38Issue(12)：711-715,5.DOI:10.3870/zgkf.2023.12.002
球囊扩张术联合全息按摩治疗环咽肌失弛缓症的临床观察
Clinical observation of balloon dilatation combined with holographic massage for cricopharyngeal achalasia
摘要
Abstract
Objective:To observe the efficacy of balloon dilatation combined with holographic massage for crico-pharyngeal achalasia.Methods:Totally,42 patients with cricopharyngeal muscle achalasia after stroke were selected and randomly divided into basal and holography groups,with 21 patients in each group.Both groups were given conventional treatment for stroke.The basic group received balloon dilatation,and the holography group was trea-ted with holographic massage combined with balloon dilatation,additionally.Before and 4 weeks after treatment,swallowing function assessment and psychological assessment were done.The TV fluorescent swallowing contrast examination(VFSS)score,depression self-rating scale(SDS)score and anxiety self-rating scale(SAS)score were compared between two groups.Before and 2 weeks and 4 weeks after treatment,the complications of balloon dilata-tion were assessed separately,and the pharyngeal score scale(NRS)score and cumulative incidence of induced vomi-ting were compared.Results:After 4 weeks of treatment,the VFSS score increased(P＜0.05),and the SDS and SAS scores decreased(P＜0.05)in both groups as compared with those before treatment,and those in the hologra-phy group were better than in the basic group(P＜0.05).The NRS score in both groups was lower at 4th week than in 2nd week and 1st day,and that in the holography group was better than in the basic group(P＜0.05).There was no difference in the cumulative incidence of induced vomiting at each time point between two groups,but the difference between 2-week treatment and 1-day treatment,and between 4-week treatment and 1-day treatment 1d in the basic group was greater than in the holography group.Conclusion:Balloon dilatation with holographic mas-sage has definite efficacy and high compliance for cricopharyngeal achalasia,which is worthy of clinical application.关键词
球囊扩张术/全息疗法/环咽肌失弛缓症Key words
balloon dilatation/holographic therapy/cricopharyngeal achalasia分类
医药卫生引用本文复制引用
王忠林,罗君,祝波,沈俊明,陈创,杜书兰,黄婉苹,黄明勇..球囊扩张术联合全息按摩治疗环咽肌失弛缓症的临床观察[J].中国康复,2023,38(12):711-715,5.基金项目
湖北省卫生健康委科研项目(WJ2021F088) （WJ2021F088）
湖北省卫生健康委科研项目(ZY2023F117) （ZY2023F117）
随州市卫生健康委科研项目(2021SZ32014) （2021SZ32014）
