吞咽康复护理在不随意运动型脑瘫儿童中的应用价值  

Application Value of Swallowing Rehabilitation Nursing in Children with Involuntary Motor Cerebral Palsy

作　　者：李文娟 Li Wen-juan(Child Rehabilitation Department,Zibo Maternal and Child Health Hospital,Zibo 255000,Shandong Province,China)

机构地区：[1]淄博市妇幼保健院儿童康复科,山东淄博255000

出　　处：《中外医药研究》2023年第5期84-86,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨吞咽康复护理在不随意运动脑瘫儿童中的临床应用价值。方法:选取2022年1—12月淄博市妇幼保健院收治的不随意运动型脑瘫患儿80例为研究对象,按照随机数字表法分为对照组与观察组,各40例。对照组给予常规康复护理干预,观察组在对照组基础上给予吞咽康复护理干预。比较两组吞咽能力相关运动功能、流涎严重程度和频率分级、监护人主动监督患儿锻炼和参与康复学习情况。结果:观察组下颌、唇、舌运动评分高于对照组,差异有统计学意义(P<0.05)。观察组流涎严重程度和频率分级低于对照组,差异有统计学意义(P<0.001)。观察组监护人主动监督患儿锻炼和参与康复学习得分高于对照组,差异有统计学意义(P<0.001)。结论:针对不随意运动型脑瘫患儿行吞咽康复护理干预,可显著改善患儿吞咽能力相关运动功能,减轻流涎严重程度和流涎频率,促进患儿监护人更好地参与康复训练。Objective:To explore the clinical application value of swallowing rehabilitation nursing in children with cerebral palsy with involuntary movements.Methods:A total of 80 children with involuntary motor cerebral palsy admitted to Zibo Maternal and Child Health Hospital from January to December 2022 were selected as the research objects.According to the random number table method,they were divided into control group and observation group,40 cases in each group.The control group was given routine rehabilitation nursing intervention,and the observation group was given swallowing rehabilitation nursing intervention on the basis of the control group.The swallowing ability-related motor function,salivation severity and frequency classification,guardians'active supervision of children's exercise and participation in rehabilitation learning were compared between the two groups.Results:The mandible,lip and tongue movement scores in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The severity and frequency of salivation in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.001).The guardians in the observation group actively supervised the children's exercise and participated in rehabilitation learning scores were higher than those in the control group,and the difference was statistically significant(P<0.001).Conclusion:Swallowing rehabilitation nursing intervention for children with involuntary motor cerebral palsy can significantly improve the motor function related to swallowing ability,reduce the severity and frequency of salivation,and promote the children's guardians to better participate in rehabilitation training.

关 键 词：吞咽康复护理 不随意运动脑瘫 流涎 

分 类 号：R47[医药卫生—护理学]