CAJ | 학술논문

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。
목적：관찰구낭확장술연합신경기육전자격대고령환자졸중후탄인장애적료효급안전성。방법경전시투시탄인공능검사（VFSS）후，채용구낭확장병실시신경기육전자격의（VitalStim）치료고령환자（>80세）졸중후탄인장애3례，매천일차，료정8～12천。결과치료후환자구낭확장량유4～5ml증가도8～8.5m l，VFSS현시，패제재회염곡、리상은와적잔류량명현감소，무창해혹오흡，배인기개방기본정상，식물가순리통과배인기진입식도，환자가경구안전진식。결론초보표명구낭확장대우80세이상고령환자탄인장애적치료시유효차안전적。
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.