| ObjectiveTo observe the effect of balloon catheter dilatation technique for swallowingdysfunction caused by cricopharyngeal achalasia after stroke.MethodsTirty-two patients with swallowing dysfunction caused by cricopharyngealachalasia after stroke were selected to participate in this study bettwen February2013and2014. The patients who met the criteria were divided into a treatment group and acontrol group for the use of a random number table,16cases in each group. All caseswere treated with conventional rehabilitation therapy, including swallowing basictraining, feeding training, Vitalstim electrical stimulation therapy, acupuncturetherapy, transcranial magnetic stimulation treatment. On the basis of conventionalrehabilitation therapy the experimental group were treated with balloon dilatationcatheter. The cases were treated with conventional rehabilitation therapy once a daily,6d a week,and treated with balloon dilatation catheter twice a day, each about30min，6d a week，in increments of0.5~1ml each time，the maximum amount of water doesnot exceed15ml, The end of the two groups of treatment was to restore oral intake ortreatment up to2week.Patients were using the swallowing disorder degree,swallowing evaluation and video angiography for evaluation before and aftertreatment.ResultsThe dysphagia severity score and video swallowing angiography of the two cases before treatment showed no significant difference (P>0.05). The dysphagiaseverity score and video swallowing angiography of the patients with oral intake ortreatment time up to2weeks were improved (P<0.05), and these indicators of thetreatment group were improved more when compared with the control group(P<0.05), Before and after treatment, there was significant difference in the group(P<0.05), the swallowing function evaluated of the treatment group was significantlyprecede than the control group(P<0.05). After the patients with oral intake ortreatment time up to2weeks, the average time for a bolus to pass the pharynx in thetreatment group was significantly shorter than that in the control group. Comparisonof the treatment group before and after treatment, the difference was statisticallysignificant (P <0.05). After treatment,12cases in treatment group had been were ableto eat water, solid food and liquid food by mouth and14cases could able to intakemushy foods;in the control group,5cases was cured and9cases showed markedeffectiveness.The difference was statistically significant with the swallowing functionbetween the two groups.ConclusionCompared with the conventional treatment,the improved scheme of ballooncatheter dilatation technique which treat the swallowing dysfunction caused bycricopharyngeal achalasia after stroke,significantly shorter the treatmenttime,improve the patient’s eating capacity in a short time.That is a more effectivetherapy which is worth use in clinical. |
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