中国全科医学2026，Vol.29Issue(5)：591-596,6.DOI:10.12114/j.issn.1007-9572.2025.0228
口内球囊扩张联合K点刺激对卒中后假性延髓麻痹吞咽障碍合并张口困难患者的治疗效果研究
Study of the Therapeutic Effect of Intraoral Balloon Dilation Combined with K-point Stimulation in Patients with Post-stroke Pseudobulbar Palsy Associated Dysphagia and Trismus
摘要
Abstract
Background In patients with post-stroke pseudobulbar palsy,bilateral upper motor neuron injury manifests as trismus,hyperactive jaw-jerk reflex,and swallowing disorders.Among these symptoms,trismus significantly complicates rehabilitation therapies during the oral preparatory and oral phases of swallowing,as well as oral rehabilitation nursing procedures.Objective To explore the therapeutic effect of intraoral balloon dilation combined with K-point stimulation in patients with post-stroke pseudobulbar palsy associated dysphagia and trismus.Methods Forty patients with post-stroke pseudobulbar palsy associated dysphagia and trismus,who admitted to the China Rehabilitation Research Center from June 2021 to April 2024,were selected for the study.They were randomly assigned to either the control group(n=20)or the observation group(n=20)by the random number table method.The control group received conventional swallowing therapy and K-point stimulation to facilitate mouth opening,while the observation group received intraoral balloon dilation combined with K-point stimulation in addition to conventional swallowing therapy.Both groups underwent 4 weeks of treatment.Swallowing function was assessed using the Mann Assessment of Swallowing Ability and the 2-minute frequency of spontaneous swallowing at pretherapy after 4 weeks of treatment.Mouth opening function was evaluated using effective mouth opening times.Results After 4 weeks of treatment,the observation group showed a significantly higher severity score for swallowing difficulties(62.40±7.76)on the Mann Assessment of Swallowing Ability,compared to the control group(56.50±4.45)(P<0.05).The observation group also showed a significantly higher median 2-minute frequency of spontaneous swallowing compared to the control group[1.8(1.4,2.2)vs 1.4(1.0,1.8)](P<0.05).Additionally,the observation group had a significantly higher times of effective mouth opening(23.3±1.3)compared to the control group(21.1±1.8)(P<0.05).Conclusion Intraoral balloon dilation combined with K-point stimulation can effectively improve dysphagia and trismus in patients with post-stroke pseudobulbar palsy.关键词
卒中/假性延髓麻痹/吞咽障碍/张口困难/曼恩吞咽功能评估/2min自发吞咽次数Key words
Stroke/Pseudobulbar palsy/Dysphagia/Trismus/The Mann assessment of swallowing ability/The 2-minute frequency of spontaneous swallowing分类
医药卫生引用本文复制引用
胡乃晓,张皓,王博,齐心,董剑虹,薛瑞忠,张庆苏..口内球囊扩张联合K点刺激对卒中后假性延髓麻痹吞咽障碍合并张口困难患者的治疗效果研究[J].中国全科医学,2026,29(5):591-596,6.基金项目
中国康复研究中心青年基金项目(2021zx-Q3) （2021zx-Q3）
