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（>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8～8.5m l，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。
Abstract
Objective observation of bal oon dilatation joint neuromuscular electrical stimulation to the curative effect of senile patients with swal owing disorder after stroke, and safety. Method by TV fluoroscopy swal ow function (VFSS), after the bal oon expansion and real-time neuromuscular electrical stimulator (VitalStim) treatment old age (> 80 years) patients with swal owing disorder after stroke (3 cases), once a day, the course of 8 ~ 12 days. Results after treatment, patients with bal oon expansion volume increased by 4 ~ 5 ml to 8 ~8.5 ml, VFSS, barium residue in the val ey 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 bal oon expansion for over 80 - year - old patients with swal owing disorder treatment is effective and safe.
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