贝克曼口腔运动治疗技术结合吞咽功能训练在重症脑炎患儿恢复期康复中的疗效分析  

Effectiveness of Beckman oral motor therapy combined with swallowing function training in the children with dysphagia in the recovery period of severe encephalitis

作　　者：李璞 康晓东 何阳 王红艳 伍雪莲 甘莉 Li Pu;Kang Xiaodong;He Yang(Department of Rehabilitation Therapy,Sichuan Bayi Rehabilitation Center,Chengdu University of Traditional Chinese Medicine,Chengdu 611130,China)

机构地区：[1]四川省八一康复中心(四川省康复医院),成都611130

出　　处：《中国康复》2024年第2期85-88,共4页Chinese Journal of Rehabilitation

摘　　要：目的:观察贝克曼口腔运动治疗技术结合吞咽功能训练对重症脑炎吞咽障碍患儿恢复期康复效果的影响。方法:选取2019年5月~2022年12月入住本院儿童康复科的48例重症脑炎恢复期伴吞咽障碍患儿为研究对象,按随机分组的方法,分为对照组和联合组各24例。对照组给予常规吞咽功能训练,联合组在给予常规吞咽功能训练基础上,再结合贝克曼口腔运动治疗技术进行早期床旁干预。在治疗1个月后,通过中文版经口摄食功能评估量表(FOIS)、藤岛一郎吞咽障碍程度分级、贝克曼口腔运动评估量表评估比较2组患儿的吞咽功能恢复情况和口部运动功能改善情况。结果:治疗后,2组患儿FOIS分级评分、藤岛一郎吞咽障碍程度分级评分、口腔运动功能评分均较治疗前明显提高(均P<0.05),且联合组治疗后FOIS分级评分、藤岛一郎吞咽障碍程度分级评分及口腔运动功能评分均高于对照组(均P<0.05)。结论:早期给予重症脑炎恢复期吞咽障碍患儿贝克曼口腔运动治疗技术结合吞咽功能训练,能有效促进其吞咽功能提高以及口部运动功能改善,值得临床应用推广。Objective:To observe the effect of Beckman oral motor therapy combined with swallowing function training on the rehabilitation of children with dysphagia in the recovery period of severe encephalitis.Methods:A total of 48 children with dysphagia in the recovery period of severe encephalitis who were admitted to the Children’s Rehabilitation Department of our hospital from May 2019 to December 2022 were selected as the research objects.They were randomly divided into a control group and a combined group with 24 cases each.The control group was given routine swallowing function training for children with dysphagia in the recovery period of severe encephalitis,and the combined group was given early bedside intervention on the basis of routine swallowing function training combined with Beckmann oral motor therapy technology.After one month of treatment,the recovery of swallowing function and the improvement of oral motor function were compared between the two groups through Beckman Oral Motor Assessment Scale,Chinese version of Oral Feeding Function Assessment Scale(FOIS)and Fujishima Ichiro Dysphagia grade assessment.Results:Before treatment,there was no statistically significant difference between the two groups in the FOIS grading score,Fujishima Ichiro swallowing disorder grading score,and oral motor function score.After one month of treatment,the scores of the two groups of children in the above three aspects were improved compared to before treatment,and the scores of the combined group in all three aspects were significantly improved compared to the control group(P<0.05).Compared with the control group,the total effective rate of the combined group was significantly improved.Conclusion:The combination of Beckman oral motor therapy and swallowing function training for children with dysphagia in the recovery period of severe encephalitis in the early stage can effectively improve their swallowing function and oral motor function,which is worthy of clinical application and promotion.

关 键 词：贝克曼口腔运动治疗技术 吞咽功能训练 重症脑炎恢复期 

分 类 号：R49[医药卫生—康复医学] R473.72[医药卫生—临床医学]