球囊扩张联合神经肌肉电刺激治疗80岁以上高龄脑卒中后吞咽障碍的临床观察.docVIP

精品论文 参考文献 球囊扩张联合神经肌肉电刺激治疗80岁以上高龄脑卒中后吞咽障碍的临床观察 许海生 刘捷 张锋伟 贾炜(洛阳新区人民医院康复医学科 河南洛阳 471023) 　　【摘要】目的 观察球囊扩张术联合神经肌肉电刺激对高龄患者卒中后吞咽障碍的疗效及安全性。方法 经电视透视吞咽功能检查（VFSS）后，采用球囊扩张并实时神经肌肉电刺激仪（VitalStim）治疗高龄患者（gt;80岁）卒中后吞咽障碍3例，每天一次，疗程8～12天。结果 治疗后患者球囊扩张量由4～5ml增加到8～8.5ml，VFSS显示，钡剂在会厌谷、梨状隐窝的残留量明显减少，无呛咳或误吸，环咽肌开放基本正常，食物可顺利通过环咽肌进入食道，患者可经口安全进食。结论 初步表明球囊扩张对于80岁以上高龄患者吞咽障碍的治疗是有效且安全的。 　　【关键词】电视透视吞咽功能检查 球囊扩张 神经肌肉电刺激 吞咽障碍 高龄患者 　　【中图分类号】R54 【文献标识码】A 【文章编号】1672-5085（2014）16-0089-03 　　Balloon expansion joint neuromuscular electrical stimulation treatment on over 80 - year - old swallowing disorder after stroke clinical observation 　　Xu Hai-sheng, liu jie, Zhang Feng-wei. Department of Rehabilitation medicine, Luoyang new area peoples hospital, Luoyang 471023,China,Corresponding author:xu hai-sheng,hansxu2008@126.com 　　【Abstract】Objective observation of balloon dilatation joint neuromuscular electrical stimulation to the curative effect of senile patients with swallowing disorder after stroke, and safety. Method by TV fluoroscopy swallow function (VFSS), after the balloon expansion and real-time neuromuscular electrical stimulator (VitalStim) treatment old age (gt; 80 years) patients with swallowing disorder after stroke (3 cases), once a day, the course of 8 ～ 12 days. Results after treatment, patients with balloon expansion volume increased by 4 ～ 5 ml to 8 ～ 8.5 ml, VFSS, barium residue in the valley of epiglottis, piriform fossa decreased significantly, without choking cough or aspiration, ring open basic normal pharyngeal muscles, food can be smoothly through ring pharyngeal muscle into the esophagus, patients can safely through the mouth to eat. Conclusion preliminary showed that balloon expansion for over 80 - year - old patients with swallowing disorder treatment is effective and safe. 　　【Key words】 VFSS Balloon expansion Neuromuscular electrical stimulation Swallowing disorder aged patient 　　卒中后吞咽障碍是脑卒中患者常见并发症之一，由