咀嚼功能训练联合针刺疗法在脑性瘫痪儿童伴吞咽功能障碍中的应用研究  

The study of function chewing training combined with acupuncture applied on cerebral palsy children with salivation and swallowing dysfunctions

作　　者：温壮飞 林野 王珏 WEN Zhuangfei;LIN Ye;WANG Jue(Department of Children's Rehabilitation Haikou Hospital of the Maternal and Child Health,Haikou Hainan 570102,China)

机构地区：[1]海口市妇幼保健院儿童康复科,海南海口570102

出　　处：《四川中医》2024年第12期198-200,共3页Journal of Sichuan of Traditional Chinese Medicine

基　　金：海南省自然科学基金项目资助(编号:821MS0848);海南省卫生健康行业科研项目(编号:21A200079)。

摘　　要：目的:探讨咀嚼功能训练(FuCT)联合针刺疗法对脑瘫患儿吞咽功能的影响。方法:选取2021年6月~2022年6月本院收治的60例口腔运动功能障碍伴流涎的脑瘫患儿为研究对象,随机分为对照组和观察组,每组30例。对照组予以FuCT,观察组在对照组基础上增加针刺治疗。比较两组治疗前后吞咽功能[吞咽障碍调查量表(DDS)、口运动评分]、流涎症状[流涎严重程度和频率量表(DSFS)]、及营养状况[营养不良风险筛查工具]。结果:两组研究对象的性别、年龄、适应性发育商以及脑瘫分型没有统计学差异(P>0.05)。观察组治疗前后DDS及口运动评分有统计学差异(P<0.05);与对照组相比,观察组在DDS及口运动评分改善明显,两组之间有统计学差异(P<0.05);观察组治疗后流涎严重程度较对照组明显改善,两者有统计学差异(P<0.05),流涎频率评分较对照组低,两者有统计学差异(P<0.05)。两组营养不良风险筛查评分在治疗前后皆有下降,提示治疗有效;相比对照组,观察组在治疗后改善更加明显,两组之间有统计学差异(P<0.05)。结论:咀嚼肌功能训练联合针刺疗法可有效提高口运动能力和吞咽功能,减轻口腔运动功能障碍的脑瘫患儿流涎症状,改善脑瘫患儿营养状况。Objective:To study the effect of function chewing training(FuCT)combined with acupuncture on swallowing function in children with cerebral palsy.Methods:Sixty children with cerebral palsy with oral motor dysfunction and salivation were selected from the 2021from June to June 2022.They were randomly divided into control group and observation group with 30cases in each group.The control group was treated with FuCT,and the observation group was treated with acupuncture on the basis of the control group.The deglutition function(DDS),oral motor score,salivation symptom(DSFS)and nutritional status(malnutrition risk screening tool)were compared between the two groups before and after treatment.Results:There were no significant differences in sex,age,adaptive development quotient and cerebral palsy type between the two groups(P>0.05).Compared with the control group,the DDS and the score of oral movement in the observation group were significantly improved,and there was a significant difference between the two groups(P<0.05).The severity of salivation in the observation group was significantly improved as compared with that in the control group(P<0.05),and the score of salivation frequency in the observation group was lower than that in the control group(P<0.05).The malnutrition risk screening scores of both groups decreased after treatment,indicating that the treatment was effective,and the improvement in the observation group was more significant than that in the control group after treatment,with a significant difference between the two groups(P<0.05).Conclusion:Function chewing training(FuCT)combined with acupuncture therapy can effectively improve the oral motor ability and swallowing function,reduce the salivation symptoms of cerebral palsy children with oral motor dysfunction,and improve the nutritional status of cerebral palsy children.

关 键 词：咀嚼功能训练 针刺 吞咽功能障碍 脑性瘫痪 流涎 

分 类 号：R246.6[医药卫生—针灸推拿学]