CN106492346A - A kind of cricopharyngeus for the treatment of loses the electronic stimulation and pressure gauge for relaxing - Google Patents

A kind of cricopharyngeus for the treatment of loses the electronic stimulation and pressure gauge for relaxing Download PDF

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Publication number
CN106492346A
CN106492346A CN201611173207.4A CN201611173207A CN106492346A CN 106492346 A CN106492346 A CN 106492346A CN 201611173207 A CN201611173207 A CN 201611173207A CN 106492346 A CN106492346 A CN 106492346A
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Prior art keywords
pressure
liquid injection
injection pipe
electronic stimulation
sacculus
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CN201611173207.4A
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Chinese (zh)
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肖乐
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/296Bioelectric electrodes therefor specially adapted for particular uses for electromyography [EMG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/389Electromyography [EMG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/42Detecting, measuring or recording for evaluating the gastrointestinal, the endocrine or the exocrine systems
    • A61B5/4205Evaluating swallowing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Endocrinology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Physiology (AREA)
  • Electrotherapy Devices (AREA)

Abstract

The invention belongs to medical instruments field, is related to the instrument of a kind of clinical examination and treatment, more particularly to one kind is treated cricopharyngeus and loses relaxation electronic stimulation and hypopharynx and Upper Esophageal pressure-detecting device;Which includes liquid injection pipe;The exhaustor with liquid injection pipe UNICOM is provided with liquid injection pipe;One end of liquid injection pipe is fixedly installed fixed sacculus, is additionally provided with electronic stimulation and pressure measxurement sacculus with liquid injection pipe UNICOM;Fixed sacculus is arranged on the front end of electronic stimulation and pressure measxurement sacculus;One end of the other end and exhaustor of liquid injection pipe is provided with switch.The present invention is scaled pressure after can obtaining electromyographic signal, as the assessment of function of deglutition, and can carry out electronic stimulation;Aerofluxuss by gas injection device need not be dismantled, is operated more convenient;When by one end of liquid injection pipe from nasal cavity or oral cavity and the oral cavity insertion of patient, extraction wire will not hurt patient, relatively safety.

Description

A kind of cricopharyngeus for the treatment of loses the electronic stimulation and pressure gauge for relaxing
Technical field
The invention belongs to medical instruments field, is related to the instrument of a kind of clinical examination and treatment, more particularly to a kind for the treatment of Cricopharyngeus loses the electronic stimulation of relaxation and pressure gauge.
Background technology
Dysphagia is common complication in nervous system disease and after nasopharyngeal carcinoma radiotherapy, apoplexy and nasopharyngeal carcinoma The cricopharyngeus that causes after radiotherapy lose relaxation be cause the most commonly encountered diseases of dysphagia because.In recent years, Cerebral Haemorrhage Invasion Rate exists China's Continued, annual new cases just had apoplexy new cases, apoplexy to suffer from more than 2,000,000, averagely per 15 seconds The incidence rate of person's dysphagia is 30-50%, and it is 40-70% to inhale incidence rate by mistake.
At present, treatment cricopharyngeus loses relaxation and mainly adopts catheter balloon dilatation both at home and abroad, but due to pharyngeal ring The size of pharynx flesh pressure cannot be measured, and the water injection rate of dilating sacculus depends critically upon experience and the reaction of medical personnel, The action that extracts several times to be done repeatedly simultaneously daily, cause the pharyngeal mucosa of patient to damage.
Content of the invention
For solving the above problems, it is an object of the invention to provide a kind of treat cricopharyngeus lose relaxation electronic stimulation and Pressure gauge, is scaled pressure, and can carry out electronic stimulation after can obtaining electromyographic signal.
Another object of the present invention is:The requirement to gas injection device can be reduced, and more easily can be read The pressure of gas in electronic stimulation and pressure gauge.At present, still preserve substantial amounts of function simply to note in hospital Device of air, such as common without manometric air pump;Reduce the requirement to gas injection device, electronic stimulation and pressure can be made The versatility of force measuring device is improved.
Another object of the present invention is:The requirement to gas injection device can be reduced, be connected with gas injection end without the need for dismounting Gas injection device can aerofluxuss.At present, substantial amounts of unidirectional gas injection device is still preserved in hospital (only possess gas injection function, no Possess air extracting function), using unidirectional gas injection device from repeatedly aerofluxuss, the gas injection of gas injection end, make electrode stimulating pressure sensitive layer anti- Futtock, contraction, need gas injection device is connected dismounting from gas injection end repeatedly and realize aerofluxuss and then by gas injection device and gas injection End connection gas injection, cumbersome.
For achieving the above object, the present invention makes electrode stimulating by one end of liquid injection pipe from nasal cavity or the oral cavity insertion of patient Pressure sensitive layer is expanded so as to closely be fitted with cricopharyngeus, by the electric stimulation therapeutic apparatus that are electrically connected with extraction wire and flesh Electric display device can read electromyographic signal, be scaled pressure after obtaining electromyographic signal.By repeatedly pumping, gas injection, make Electrode stimulating pressure sensitive layer is expanded repeatedly, is shunk, to carry out electronic stimulation.
The detailed technology scheme that the present invention takes is:A kind of cricopharyngeus for the treatment of loses the electronic stimulation and pressure measxurement for relaxing Device, it include liquid injection pipe;The exhaustor with liquid injection pipe UNICOM is provided with liquid injection pipe;One end of liquid injection pipe is fixedly installed Determine sacculus, be additionally provided with electronic stimulation and pressure measxurement sacculus with liquid injection pipe UNICOM;Fixed sacculus is arranged on electricity irritation and controls Treatment and the front end of pressure measxurement sacculus;One end of the other end and exhaustor of liquid injection pipe is provided with switch;The electricity irritation Treatment and pressure measxurement sacculus include inflating balloon and the electrode stimulating pressure sensitive layer for arranging from inside to outside;Electrode stimulating pressure One end of power inductive layer is fixedly connected with inflating balloon by fixed sacculus;The other end of electrode stimulating pressure sensitive layer can be relative Inflating balloon is moved;Opening is provided with electrode stimulating pressure sensitive layer;Electrode stimulating pressure sensitive layer is electrical with extraction wire Connection.
Further, the pressure-measuring pipe with the exhaustor UNICOM is additionally provided with the exhaustor, and one end of pressure-measuring pipe sets It is equipped with pressure gauge.
Further, relief tube is additionally provided with the pressure-measuring pipe, and one end of relief tube is provided with switch.
Further, wire barrel is additionally provided with the liquid injection pipe;The extraction wire is drawn from wire barrel.
Preferably, the liquid injection pipe, the exhaustor, the pressure-measuring pipe, the relief tube and the wire barrel are Silica gel is made.
Preferably, the length of the liquid injection pipe is 55cm.
Further, also include electric stimulation therapeutic apparatus and the myoelectricity display device 31 being electrically connected with the extraction wire.
Compared with prior art, the present invention has the advantages that:1st, after can obtaining electromyographic signal, pressure is scaled, As the assessment of function of deglutition, and electronic stimulation can be carried out;2nd, gas injection device by aerofluxuss need not be dismantled, and operation is compared Convenient;3rd, when by one end of liquid injection pipe from nasal cavity or the oral cavity insertion of patient, extraction wire will not hurt patient, compare peace Entirely.
Description of the drawings
Fig. 1 is the overall schematic of the electronic stimulation in the present invention and pressure gauge.
Fig. 2 is the partial enlarged drawing (during inflating balloon unaerated) of the electrode sacculus in the present invention.
Fig. 3 is the sectional view (when inflating balloon is inflated) of the electrode sacculus partial enlargement in the present invention.
Liquid injection pipe 1;Insertion end 11;Fluid injection end 12;Electronic stimulation and pressure measxurement sacculus 13;Inflating balloon 131;Electrode Stimulate pressure sensitive layer 132;Opening 133;Fixed sacculus 14;Exhaustor 2;Gas injection end 21;Pressure-measuring pipe 22;Pressure gauge 221;Pressure release Pipe 23;Exhaust end 231;Wire barrel 3;Electric stimulation therapeutic apparatus and myoelectricity display device 31;Switch 4;Syringe 5.
Specific embodiment
Fig. 1-Fig. 3 is referred to, the present invention treats electronic stimulation and the pressure gauge that cricopharyngeus loses relaxation for a kind of, Which includes liquid injection pipe 1;The exhaustor 2 with 1 UNICOM of liquid injection pipe is provided with liquid injection pipe 1.
One end (i.e. insertion end 11) of liquid injection pipe 1 is fixedly installed fixed sacculus 14, is additionally provided with and 1 UNICOM of liquid injection pipe Electronic stimulation and pressure measxurement sacculus 13;Fixed sacculus 14 is arranged on the front end of electronic stimulation and pressure measxurement sacculus 13 (i.e. near one end of insertion end 11).
One end (i.e. gas injection end 21) of the other end (i.e. fluid injection end 12) and exhaustor 2 of liquid injection pipe 1 is provided with switch 4.
Electronic stimulation and pressure measxurement sacculus 13 include the inflating balloon 131 for arranging from inside to outside and electrode stimulating pressure Power inductive layer 132;One end of electrode stimulating pressure sensitive layer 132 is fixedly connected with inflating balloon 131 by fixed sacculus 14;Electricity The other end of polar stimulation pressure sensitive layer 132 can be moved relative to inflating balloon 131 (i.e. with to be fixed on inflating balloon 131 not solid Fixed);Opening 133 is provided with electrode stimulating pressure sensitive layer 132.
Electrode stimulating pressure sensitive layer 132 is electrically connected with extraction wire (accompanying drawing is not drawn into).
A kind of in the present invention treats the operation principle of electronic stimulation and pressure gauge that cricopharyngeus loses relaxation: During use, by extraction wire and electric stimulation therapeutic apparatus and myoelectricity display device 31 (electric stimulation therapeutic apparatus selected in the present invention and Dl-Z II type galvanofaradism apparatuses of the myoelectricity display device for Medical Appts. Factory Co., Ltd., Shantou City, naturally it is also possible to according to Practical situation selects other electric stimulation therapeutic apparatus and myoelectricity display device), and by the switch 4 at gas injection end 21 by gas injection end 21 Open;Fluid injection end 12 is closed by the switch 4 at fluid injection end 12;By one end (i.e. insertion end 11) of liquid injection pipe 1 from the nose of patient Chamber or oral cavity insertion, make to fix the lower end that sacculus 14 is located at cricopharyngeus, and electronic stimulation and pressure measxurement sacculus 13 are then correspondingly It is located at cricopharyngeus;Then the gas (can use gas injection device etc., such as air pump etc.) of desirable pressure is injected from gas injection end 21 Expand inflating balloon 131, electrode stimulating pressure sensitive layer 132 is correspondingly expanded (due to opening 133, electrode stimulating feeling of stress Answer layer 132 expand) so as to closely fit with cricopharyngeus, by the electric stimulation therapeutic apparatus that are connected with extraction wire and myoelectricity Display device 31 can read electromyographic signal, can be scaled pressure, as the assessment of function of deglutition after reading electromyographic signal.
From repeatedly pumping/aerofluxuss, the gas injection of gas injection end 21, electrode stimulating pressure sensitive layer 132 also correspondingly repeatedly expansion, Shrink, coordinate electric stimulation therapeutic apparatus and myoelectricity display device 31, electronic stimulation can be carried out.
Syringe 5 is connected to fluid injection end 12 by the switch 4 for closing gas injection end 21 and the switch 4 for opening fluid injection end 12, can To inject water or contrast agent as needed.
It is also provided with the pressure-measuring pipe 22 with 2 UNICOM of exhaustor on exhaustor 2, one end of pressure-measuring pipe 22 (i.e. pressure-measuring pipe The other end of 22 one end being connected with exhaustor 2) (pressure gauge that selects in the present invention is that Xi'an is automatic to be provided with pressure gauge 221 Change the YS-100 digital pressure gauges of one factory of instrument, naturally it is also possible to which other pressure gauges are selected according to practical situation).By pressure Table 221 can directly read the pressure of gas in electronic stimulation and pressure gauge, and without the need for by connecting with gas injection end 21 The gas injection device for connecing can reduce wanting gas injection device reading the pressure of gas in electronic stimulation and pressure gauge (such as gas injection device can be without manometric air pump) is asked, and can more easily read electronic stimulation and pressure The pressure of gas in force measuring device.
Relief tube 23 is also provided with pressure-measuring pipe 22, and one end (i.e. exhaust end 231) of relief tube 23 is provided with switch 4.Aerofluxuss by the switch 4 of exhaust end 231 is opened, and without the need for the gas injection device that dismounting is connected with gas injection end 21, operation is compared Convenient.
Wire barrel 3 is also provided with liquid injection pipe 1;Extraction wire is drawn from wire barrel 3.Extraction wire can be correspondingly It is provided entirely in electronic stimulation and pressure gauge, in the one end (i.e. insertion end 11) by liquid injection pipe 1 from the nose of patient When chamber or oral cavity are inserted, extraction wire will not hurt patient, relatively safety.
Liquid injection pipe 1, exhaustor 2, pressure-measuring pipe 22, relief tube 23 and wire barrel 3 are preferably silica gel and make.
The length of liquid injection pipe 1 is preferably 55cm.
In sum, a kind of cricopharyngeus for the treatment of in the present invention loses the electronic stimulation and pressure gauge for relaxing, can Pressure is scaled after obtaining electromyographic signal, as the assessment of function of deglutition, and can carry out electronic stimulation;Without the need for dismounting Aerofluxuss by gas injection device, operate more convenient;In the one end (i.e. insertion end 11) by liquid injection pipe 1 from nasal cavity or the oral cavity of patient During insertion, extraction wire will not hurt patient, relatively safety.
It is to be appreciated that term " " center ", " longitudinal direction ", " horizontal ", "front", "rear", "left", "right", " vertical ", " water Flat ", " top ", " bottom ", " interior ", the orientation of instruction such as " outward " or position relationship be based on orientation shown in the drawings or position relationship, Only it is to describe with simplifying for ease of the description present invention, rather than indicates or infer the device or element of indication must have specifically Orientation, for specific azimuth configuration and operation, thus it is not intended that restriction to present invention protection content.
Above specific embodiment is only the preferred embodiment of this creation, not in order to limit this creation, all in this wound Any modification, equivalent substitution and improvements for being done etc. within the spirit of work and principle, should be included in this creation protection domain it Interior.

Claims (7)

1. a kind of cricopharyngeus for the treatment of loses the electronic stimulation and pressure gauge for relaxing, it is characterised in that:Including liquid injection pipe (1);The exhaustor (2) with liquid injection pipe (1) UNICOM is provided with liquid injection pipe (1);One end of liquid injection pipe (1) is fixedly installed fixation Sacculus (14), it is additionally provided with electronic stimulation and pressure measxurement sacculus (13) with liquid injection pipe (1) UNICOM;Fixed sacculus (14) sets Put in electronic stimulation and the front end of pressure measxurement sacculus (13);One end of the other end of liquid injection pipe (1) and exhaustor (2) is equal It is provided with switch (4);The electronic stimulation and pressure measxurement sacculus (13) include the inflating balloon (131) for arranging from inside to outside And electrode stimulating pressure sensitive layer (132);One end of electrode stimulating pressure sensitive layer (132) is by fixing sacculus (14) and filling Balloon capsule (131) is fixedly connected;The other end of electrode stimulating pressure sensitive layer (132) can be mobile relative to inflating balloon (131);Electricity Opening (133) is provided with polar stimulation pressure sensitive layer (132);Electrode stimulating pressure sensitive layer (132) is electrical with extraction wire Connection.
2. a kind of cricopharyngeus for the treatment of loses the electronic stimulation and pressure gauge for relaxing, its feature as claimed in claim 1 It is:The pressure-measuring pipe (22) with the exhaustor (2) UNICOM, one end of pressure-measuring pipe (22) is additionally provided with exhaustor (2) It is provided with pressure gauge (221).
3. a kind of cricopharyngeus for the treatment of loses the electronic stimulation and pressure gauge for relaxing, its feature as claimed in claim 2 It is:Relief tube (23) is additionally provided with pressure-measuring pipe (22), and one end of relief tube (23) is provided with switch (4).
4. a kind of cricopharyngeus for the treatment of loses the electronic stimulation and pressure gauge for relaxing, its feature as claimed in claim 3 It is:Wire barrel (3) is additionally provided with liquid injection pipe (1);The extraction wire is drawn from wire barrel (3).
5. a kind of cricopharyngeus for the treatment of loses the electronic stimulation and pressure gauge for relaxing, its feature as claimed in claim 4 It is:Liquid injection pipe (1), the exhaustor (2), the pressure-measuring pipe (22), the relief tube (23) and the wire barrel (3) it is silica gel to make.
6. a kind of cricopharyngeus for the treatment of as described in claim 1-5 is arbitrary loses the electronic stimulation and pressure gauge for relaxing, It is characterized in that:The length of liquid injection pipe (1) is 55cm.
7. a kind of cricopharyngeus for the treatment of as described in claim 1-5 is arbitrary loses the electronic stimulation and pressure gauge for relaxing, It is characterized in that:Also include electric stimulation therapeutic apparatus and the myoelectricity display device (31) being electrically connected with the extraction wire.
CN201611173207.4A 2016-12-18 2016-12-18 A kind of cricopharyngeus for the treatment of loses the electronic stimulation and pressure gauge for relaxing Pending CN106492346A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108236756A (en) * 2018-04-17 2018-07-03 绵阳和润电子仪器有限责任公司 For the visual foley's tube of cricopharyngeus rehabilitation training
CN113081752A (en) * 2021-03-16 2021-07-09 吉林大学第一医院 Cerebral infarction patient is with swallowing rehabilitation device

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH10118190A (en) * 1996-10-23 1998-05-12 Otsuka Pharmaceut Factory Inc Catheter, deglutition disorder treating implement formed by using the same and fixture for catheter
CN102366325A (en) * 2011-10-21 2012-03-07 南昌大学第一附属医院 Dysphagia pressure measurement and treatment instrument
CN102670216A (en) * 2012-05-04 2012-09-19 江苏苏云医疗器材有限公司 Swallowing determining and evaluating system
CN103919548A (en) * 2013-07-25 2014-07-16 中国科学院深圳先进技术研究院 Detecting device and detecting equipment for swallowing muscle disorders
CN203802913U (en) * 2014-04-15 2014-09-03 四川大学华西医院 Artificial airway
CN204951947U (en) * 2015-08-31 2016-01-13 江苏苏云医疗器材有限公司 Swallow neurally and muscle electricity thorn excitron
CN206642215U (en) * 2016-12-18 2017-11-17 肖乐 A kind of electronic stimulation and device for pressure measurement treated cricopharyngeus and lose relaxation

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH10118190A (en) * 1996-10-23 1998-05-12 Otsuka Pharmaceut Factory Inc Catheter, deglutition disorder treating implement formed by using the same and fixture for catheter
CN102366325A (en) * 2011-10-21 2012-03-07 南昌大学第一附属医院 Dysphagia pressure measurement and treatment instrument
CN102670216A (en) * 2012-05-04 2012-09-19 江苏苏云医疗器材有限公司 Swallowing determining and evaluating system
CN103919548A (en) * 2013-07-25 2014-07-16 中国科学院深圳先进技术研究院 Detecting device and detecting equipment for swallowing muscle disorders
CN203802913U (en) * 2014-04-15 2014-09-03 四川大学华西医院 Artificial airway
CN204951947U (en) * 2015-08-31 2016-01-13 江苏苏云医疗器材有限公司 Swallow neurally and muscle electricity thorn excitron
CN206642215U (en) * 2016-12-18 2017-11-17 肖乐 A kind of electronic stimulation and device for pressure measurement treated cricopharyngeus and lose relaxation

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108236756A (en) * 2018-04-17 2018-07-03 绵阳和润电子仪器有限责任公司 For the visual foley's tube of cricopharyngeus rehabilitation training
CN108236756B (en) * 2018-04-17 2024-07-23 华中科技大学同济医学院附属同济医院 Visual balloon catheter for cricopharyngeal muscle rehabilitation training
CN113081752A (en) * 2021-03-16 2021-07-09 吉林大学第一医院 Cerebral infarction patient is with swallowing rehabilitation device

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