精密型摄食训练对重度颅脑外伤吞咽困难患儿康复效果的影响  

Effect of precision feeding training on the rehabilitation of children with severe traumatic brain injury with dysphagia

作　　者：刘超宇[1] 胡继红[1] 何金华[1] 段雅琴 熊英[1] 阮顺秋[1] LIU Chaoyu;HU Jihong;HE Jinhua;DUAN Yaqin;XIONG Ying;RUAN Shunqiu(Rehabilitation Center,Hunan Children’s Hospital,Hunan Province,Changsha410007,China)

机构地区：[1]湖南省儿童医院康复中心,湖南长沙410007

出　　处：《中国医药导报》2023年第4期96-99,107,共5页China Medical Herald

基　　金：湖南省卫生健康委员会科研计划项目(202206043871)。

摘　　要：目的研究精密型摄食训练对重度颅脑外伤吞咽障碍患儿康复效果的影响。方法选取湖南省儿童医院康复中心2019年1月至2022年4月收治的94例重度颅脑外伤吞咽障碍患儿,按照随机数字表法将其分为对照组(47例)和观察组(47例)。对照组行常规康复训练,观察组行精密型摄食训练治疗。比较两组康复效果及临床症状,治疗前后吞咽功能(SSA)评分及体重情况。比较两组治疗前后粗大运动功能量表(GMFM-88)评分。结果观察组康复效果优于对照组(P<0.05)。观察组肢体功能障碍恢复时间、达到完全经口喂养时间、留置胃管时间及住院时间均短于对照组(P<0.05)。治疗后,两组SSA评分较治疗前降低,体重均较治疗前升高,且观察组SSA评分低于对照组,体重高于对照组(P<0.05)。治疗后,两组GMFM-88各项评分及总分较治疗前升高,且观察组高于对照组(P<0.05)。结论精密型摄食训练对重度颅脑外伤吞咽障碍患儿康复效果显著,可促进患儿临床症状恢复,改善吞咽功能、粗大运动功能及生活质量,增加体重,值得推广。Objective To study the effect of precision feeding training on the rehabilitation of children with severe traumatic brain injury with dysphagia.Methods A total of 94 children with severe traumatic brain injury with dysphagia who were treated in Rehabilitation Center,Hunan Children’s Hospital from January 2019 to April 2022 were selected and they were divided into control group(47 cases)and observation group(47 cases)by random number table method.The control group received routine rehabilitation training,while the observation group received precision feeding training.The rehabilitation effect and clinical symptoms of the two groups were compared,the standardized swallowing assessment(SSA)score and body weight were compared between the two groups before and after treatment,and the gross motor function scale(GMFM-88)was compared between the two groups before and after treatment.Results The rehabilitation effect of the observation group was better than that of the control group(P<0.05).The recovery time of limb dysfunction,the time to complete oral feeding,the time of indwelling gastric tube and the length of hospital stay in the observation group were shorter than those in the control group(P<0.05).After treatment,SSA score was lower and body weight was higher in both groups than before treatment,and SSA score in observation group was lower than control group,body weight was higher than control group(P<0.05).After treatment,the scores and total scores of GMFM-88 in both groups were higher than before treatment,and the observation group was higher than the control group(P<0.05).Conclusion Precision feeding training can improve the rehabilitation of children with severe traumatic brain injury with dysphagia.The effect is remarkable,which can promote the recovery of clinical symptoms in children,improve swallowing function,gross motor function,and quality of life,weight gain,which is worthy of promotion.

关 键 词：精密型摄食训练 重度颅脑外伤 吞咽障碍 康复效果 

分 类 号：R742.1[医药卫生—神经病学与精神病学]