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中医手法介入对脑性瘫痪儿童吞咽障碍康复的疗效观察 预览 被引量:20

Effect of Early Chinese Traditional Massage on Dysphagia for Children with Cerebral Palsy
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摘要 目的探讨早期中医手法介入对脑瘫儿童吞咽障碍康复疗效的影响。方法将伴有吞咽障碍的脑瘫患儿90例分成对照组45例和试验组45例,对照组采用常规治疗方法进行康复训练,试验组采用中医手法按摩结合常规治疗方法进行康复训练,治疗前和治疗2个月后采用吞咽障碍调查(DDS)第二部分——进食分析对两组患儿进行疗效评定。结果训练前两组患儿的吞咽障碍评分无显著性差异(P〉0.05);训练后两组患儿的吞咽障碍评分较训练前显著改善(P〈0.001),且试验组明显优于对照组(P〈O.01),试验组临床疗效明显优于对照组(P〈0.01)。结论中医手法按摩技术结合常规治疗方法可以明显提高脑瘫患儿吞咽障碍的康复疗效。 Objective To explore the effect of Chinese traditional massage on the rehabilitation of dysphagia in cerebral palsy children in the early stage. Methods 90 cerebral children with dysphagia were divided into control group and experimental group with 45 cases in each group. The control group received conventional treatment and the experimental group received Chinese traditional massage in addition. The curative effects were evaluated according to the section two of deglutition disorders survey before and 2 months after treatment. Results There was no difference in the score of dysphagia between 2 groups before treatment (P〉0.05). The scores decreased both in 2 groups (P〈 0.001) after treatment. The score was lower in the experiment group than in the control group (P〈0.01) and the clinical efficiency was better in the experiment group than in the control group (P〈0.01). Conclusion Chinese traditional massage combined with conventional treatment can facilitate the recovery of dysphagia in cerebral palsy children.
作者 李爱霞 左月仙 贾革红 马贵林 杨花芳 孙素真 LI Ai-xia, ZUO Yue-xian, JIA Ge-hong, et al. Department of Neurology, Children's Hospital of Hebei Province, Shijiazhuang 050031, Hebei, China
出处 《中国康复理论与实践》 CSCD 北大核心 2013年第4期375-377,共3页 Chinese Journal of Rehabilitation Theory and Practice
基金 河北省卫生厅T2011年医学科学研究重点课题计划(No.200110233).
关键词 脑性瘫痪 吞咽障碍 中医手法按摩 cerebral palsy dysphagia Chinese traditional massage
作者简介 李爱霞(1975-),女,汉族,河北文安县人,主管护师、主管治疗师,主要从事儿童吞咽与言语康复。 通讯作者:孙素真(1962-),女,河北石家庄市人,博士,主任医师,主要研究方向:小儿神经系统疾病。
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