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主办:国家卫生健康委医院管理研究所
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中国护理管理 ›› 2019, Vol. 19 ›› Issue (11): 1734-1737.doi: 10.3969/j.issn.1672-1756.2019.11.029

• 专科管理 • 上一篇    下一篇

吞咽治疗结合家庭康复训练改善脑瘫儿童吞咽障碍的效果

李巧秀 徐悦洋 常艳玲 朱登纳   

  1. 郑州大学第三附属医院儿童康复科,450052
  • 出版日期:2019-11-15 发布日期:2019-11-15
  • 通讯作者: 朱登纳,博士,主任医师,硕士生导师,副院长,E-mail:zhudengna@126.com
  • 作者简介:李巧秀,本科,主管护师,总护士长
  • 基金资助:
    2018年度河南省医学科技攻关省部共建项目(SBGJ2018047)

Effects of swallowing therapy combined with family rehabilitation training on deglutition disorders in children with cerebral palsy

LI Qiaoxiu, XU Yueyang, CHANG Yanling, ZHU Dengna   

  1. Department of Child Rehabilitation, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China
  • Online:2019-11-15 Published:2019-11-15
  • Contact: E-mail:zhudengna@126.com

摘要: 目的:观察吞咽治疗结合家庭康复训练改善脑瘫儿童吞咽障碍的效果。方法:选择符合纳入标准的伴随吞咽障碍的脑瘫儿童60例为研究对象,采用随机数字表法分为观察组和对照组,每组30例,两组均给予吞咽治疗,主要方法是神经肌肉电刺激、吞咽训练和健康教育,观察组在此基础之上给予个体化的家庭康复训练。治疗前和治疗3个疗程后,评价两组患儿吞咽障碍程度分级、吞咽功能和患儿家长满意度,比较两组治疗后的效果。结果:治疗后观察组患儿吞咽功能改善的有效率明显优于对照组(P<0.01),观察组患儿家长的满意度明显高于对照组(P<0.05)。结论:吞咽治疗结合家庭康复训练对改善患儿吞咽功能的效果要比单纯吞咽治疗好,因此医务人员要认识到家庭康复的重要性,并给予合理、正确的指导。

关键词: 家庭康复;脑瘫;吞咽障碍

Abstract: Objective: To analyze the effects of swallowing therapy combined with family rehabilitation training on deglutition disorders in children with cerebral palsy. Methods: Sixty cases of cerebral palsy children with dysphagia who met the inclusion criteria were selected and divided into observation group and control group by random number table method, 30 cases in each group. Both groups were given swallowing therapy, including neuromuscular electrical stimulation and swallowing training, and the observation group was given individualized family rehabilitation training on this basis. Before treatment and after 3 period of treatment, the two groups used the degree of dysphagia grade and the Watian drinking water test and parental satisfaction to evaluate the degree of deglutition disorder and parental satisfaction, and compared the effects of the two groups after treatment. Results: After treatment, the effective rate of swallowing function improvement in the observation group was significantly better than that in the control group (P<0.01), and parents' satisfaction in the observation group was significantly higher than that in the control group (P<0.05). Conclusion: Swallowing therapy combined with family rehabilitation training is better than swallowing therapy alone in improving the swallowing function of children. Therefore, medical staff should recognize the importance of family rehabilitation and give reasonable and correct guidance.

Key words: family rehabilitation; cerebral palsy; deglutition disorders

中图分类号: 

  • R47