中国康复2025，Vol.40Issue(9)：520-524,5.DOI:10.3870/zgkf.2025.09.002
改良冰水循环球囊扩张术在卒中后环咽肌失弛缓症患者咽反射异常中的吞咽康复效果
Modified ice-water circulating balloon dilation technology in swallowing rehabilitation for post-stroke cricopharyngeal achalasia patients with abnormal pharyngeal reflex
摘要
Abstract
Objective:To explore the efficacy of modified ice-water circulating balloon dilation technology in post-stroke cricopharyngeal achalasia patients,particularly its improvement effects on abnormal pharyngeal reflex and swallowing rehabilitation.Methods:Thirty-three stroke patients with cricopharyngeal achalasia and abnormal pha-ryngeal reflexes were randomly assigned to either modified ice-water cyclic balloon dilation group(n=18)or conven-tional catheter dilation group(n=15).Both groups received daily 30-min sessions(5 days/week).Outcomes were assessed before and after 4 weeks of treatment(or earlier if oral feeding resumed),including pharyngeal reflex re-covery,dysphagia improvement(clinical efficacy scores),and safety(pain,mucosal bleeding,laryngeal edema).Differences between groups were statistically compared.Results:The observation group achieved a 100％effective rate in swallowing recovery post-treatment,compared to 93.33％in the control group,with comparable differences between groups.The observation group demonstrated statistically significant superiority in treatment duration(P＜0.05)and post-treatment pharyngeal reflex scores(P＜0.05).Both groups showed marked improvement in clinical efficacy scores for dysphagia(P＜0.05),and the final score of clinical efficacy of swallowing disorder in the obser-vation group was significantly higher than that in the control group(P＜0.05).Notably,the observation group exhibited lower incidence of pain,laryngeal ede-ma,and mucosal bleeding than the control group(P＜0.05),indicating enhanced safety.Conclusion:The modified ice-water circulating balloon dilation technolo-gy exhibits significant advantages in improving swallo-wing rehabilitation for post-stroke cricopharyngeal achalasia patients,effectively ameliorating abnormal pharyngeal reflex.It warrants clinical promotion.关键词
冰水循环/球囊扩张/脑卒中/咽反射/环咽肌失弛缓/吞咽康复Key words
ice-water circulation/balloon dilation/stroke/pharyngeal reflex/cricopharyngeal achalasia/swa-llowing rehabilitation分类
医药卫生引用本文复制引用
胡婷婷,吴亚岑,龚放华,赵婷,李梅枝..改良冰水循环球囊扩张术在卒中后环咽肌失弛缓症患者咽反射异常中的吞咽康复效果[J].中国康复,2025,40(9):520-524,5.基金项目
湖南省卫生健康委科研计划课题项目(B2019053) （B2019053）
湖南中医药大学校院联合基金项目(2024XYLH214) （2024XYLH214）
湖南中医药大学课程思政教学案例库建设项目(2024KCSZ29) （2024KCSZ29）
湖南省自然科学基金项目(2025JJ90084) （2025JJ90084）
湖南省卫生健康高层次人才重大科研专项(R2023085) （R2023085）
