Combining balloon catheter expansion with swallowing training can better improve the swallowing of tracheotomy patients after pontine hemorrhage
10.3760/cma.j.issn.0254-1424.2024.01.003
- VernacularTitle:球囊导管扩张联合吞咽基础训练对脑桥出血后气管切开患者吞咽功能的影响
- Author:
Fangzhen CAO
1
;
Min LIU
;
Chunhua ZHANG
;
Wei LU
;
Shanshan WANG
;
Chuan HU
;
Xin WANG
Author Information
1. 山东省立第三医院康复医学科，济南 250000
- Keywords:
Pontine hemorrhage;
Tracheotomy;
Balloon catheter dilatation;
Swallowing training
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2024;46(1):13-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe any effect of supplementing basic swallowing training with balloon catheter dilation on the swallowing function of tracheostomy patients with pontine hemorrhage.Methods:A total of 40 pontine hemorrhage patients with tracheostomy and swallowing disorders were divided randomly into an observation group and a control group, each of 20. Both groups were given nutritional neurodrugs and basic swallowing training, but the observation group also received 25 minutes of balloon catheter dilation, five times a week for 6 weeks. Before and after the 6 weeks of treatment one swallowing therapist evaluated the feeding ability and leakage-aspiration status of each subject assigning functional oral intake (FOIS) ratings and Rosenbek Leakage/Aspiration Rating Scale (PAS) ratings double-blinded. The Watian water swallowing test was also applied.Results:After the treatment the average FOIS and PAS scores of both groups had improved significantly, with those of the observation group then significantly better than among the control group on average. The total treatment effectiveness rate was 70% in the observation group, significantly better than the 30% in the control group.Conclusion:Supplementing swallowing training with balloon catheter dilation can better improve the swallowing of patients recovering from a tracheotomy after pontine hemorrhage.
