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临床试验/ACTRN12624000568516
ACTRN12624000568516尚未招募Unknown

Efficacy of cricopharyngeal peroral endoscopic myotomy (C-POEM) as a treatment for dysphagia attributable to impaired cricopharyngeal relaxation in Parkinson’s disease: a multicentre randomised controlled trial

St George Hospital0 个研究点目标入组 52 人开始时间: 2024年5月6日最近更新:
适应症

试验速览

阶段
Unknown
状态
尚未招募
入组人数
52

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Randomised controlled trial
主要目的
Treatment
盲法
Open (masking not used)

入排标准

年龄范围
40 Years 至 o limit(—)
性别
All

入选标准

  • Diagnosis of Parkinson’s disease
  • Self-reported symptoms of oropharyngeal dysphagia
  • Abnormal Sydney Swallow Questionnaire (SSQ) score (>234)
  • Manometric evidence of failed upper oesophageal sphincter relaxation defined as an abnormally raised Integrated Relaxation Pressure

排除标准

  • Deep brain stimulator (DBS) – monopolar diathermy is contraindicated in DBS.
  • Severe oropharyngeal dysphagia that had led to a previous or current recommendation to stay completely nil-by-mouth.
  • Significant co-morbidities and/or advanced Parkinson’s Disease where risk of general anaesthesia is deemed unacceptably high.
  • Hypopharyngeal structural disorders known to cause pharyngeal dysfunction (e.g., Zenker’s diverticulum, radiotherapy-related CP stricture)
  • Oesophageal disorders known to cause dysphagia (e.g., achalasia cardia, peptic oesophageal stricture, eosinophilic oesophagitis etc).
  • Insufficient cognitive capability to follow clinicians’ instruction or to provide informed consent (e.g., dementia).

研究者

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