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贺贞,剧新红,卢梅,史黎娜,黎帅,武云昊,王春华,谭洁.穴位按摩结合口腔感觉促进技术治疗脑瘫患儿吞咽障碍的临床观察[J].湖南中医药大学学报英文版,2018,38(12):1458-1463.[Click to copy
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| 穴位按摩结合口腔感觉促进技术治疗脑瘫患儿吞咽障碍的临床观察 |
| 贺贞,剧新红,卢梅,史黎娜,黎帅,武云昊,王春华,谭洁 |
| (湖南中医药大学, 湖南 长沙 410208;湘雅博爱康复医院, 湖南 长沙 410151) |
| 摘要: |
| 目的 观察穴位按摩结合口腔感觉促进技术治疗脑瘫患儿吞咽障碍的临床疗效。方法 将62例脑瘫患儿随机分成观察组和对照组，每组31例。对照组采用常规吞咽治疗和口腔感觉促进技术治疗，观察组在对照组常规治疗的基础上给予口面部穴位按摩刺激。治疗前后，分别采用吞咽障碍调查问卷（dysphagia disorders survey，DDS）、口运动评分和体质量测量比较治疗效果。结果 观察组总有效率为90.32%，显著高于对照组的64.51%（P<0.05）；治疗后，两组DDS评分、口运动评分、体质量测量与同组治疗前比较均明显改善（P<0.01）；观察组治疗后DDS总分、口运动总分较对照组均明显改善（P<0.05或P<0.01）；观察组与对照组比较，体质量改善疗效相当（P>0.05）。结论 穴位按摩结合口腔感觉促进技术可改善脑瘫儿童吞咽障碍的程度及症状，且优于单纯常规口腔感觉促进治疗。 |
| 关键词: 脑瘫 吞咽障碍 穴位按摩 口腔感觉促进技术 |
| DOI：10.3969/j.issn.1674-070X.2018.12.024 |
| Received:June 01, 2018 |
| 基金项目:湖南省教育厅优秀青年项目（16B197）。 |
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| Clinical Efficacy of Acupoint Massage Combined with Oral Motor Exercises in Treatment of Dysphagia in Children with Cerebral Palsy |
| HE Zhen,JU Xinhong,LU Mei,SHI Lina,LI Shuai,WU Yunhao,WANG Chunhua,TAN Jie |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Xiangya Boai Rehabilitation Hospital, Changsha, Hunan 410151, China) |
| Abstract: |
| Objective To observe the clinical efficacy of acupoint massage combined with oral motor exercises in the treatment of dysphagia in children with cerebral palsy.Methods A total of 62 children with cerebral palsy were randomly divided into control group and observation group, with 31 cases in each group. The control group was provided with conventional swallowing therapy and oral motor exercises; the observation group was given acupoint massage in addition to the treatment for the control group. Both groups were evaluated for the outcomes after treatment by Dysphagia Disorder Survey (DDS), oral motor score, and body mass measurement.Results The overall response rate was significantly higher in the observation group than in the control group (90.32% vs 64.51%, P<0.05). After treatment, both groups had significant improvements in DDS score, oral motor score, and body mass measurement (P<0.01). Compared with the control group, the observation group had significant improvements in total DDS score and oral motor score (P<0.05 or P<0.01), and a comparable improvement in the body mass (P>0.05).Conclusion Acupuncture massage combined with oral motor exercises can improve the degree and symptom of dysphagia in children with cerebral palsy, making it superior to conventional oral motor exercises. |
| Key words: cerebral palsy dysphagia acupoint massage oral motor exercises |
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