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视频内镜生物反馈:一种提高头颈外科手术后患者吞咽康复疗效的简单方法。

Videoendoscopic biofeedback: a simple method to improve the efficacy of swallowing rehabilitation of patients after head and neck surgery.

作者信息

Denk D M, Kaider A

机构信息

ENT Department, University of Vienna, Austria.

出版信息

ORL J Otorhinolaryngol Relat Spec. 1997 Mar-Apr;59(2):100-5. doi: 10.1159/000276918.

DOI:10.1159/000276918
PMID:9166880
Abstract

The value of flexible videoendoscopy as a biofeedback tool in conservative swallowing rehabilitation of patients suffering from aspiration after head and neck surgery was examined. For this purpose, the outcomes of conventional swallowing therapy and of swallowing therapy with support of videoendoscopic biofeedback were compared. In the first 40 days of swallowing therapy, videoendoscopic biofeedback significantly increased the chance of therapeutic success, shortening the period of functional rehabilitation in comparison to conventional swallowing therapy. Limitations of this visual biofeedback procedure are poor cognitive skills of the patient, rejection of the procedure by the patient and local factors that make the positioning of the endoscope difficult.

摘要

研究了柔性视频内镜作为生物反馈工具在头颈部手术后发生误吸患者保守性吞咽康复中的价值。为此,比较了传统吞咽治疗和视频内镜生物反馈支持下的吞咽治疗的效果。在吞咽治疗的前40天,与传统吞咽治疗相比,视频内镜生物反馈显著增加了治疗成功的机会,缩短了功能康复时间。这种视觉生物反馈程序的局限性在于患者认知能力差、患者拒绝该程序以及使内镜定位困难的局部因素。

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