《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (4): 375-377.

• 临床研究 • 上一篇    下一篇

中医手法介入对脑性瘫痪儿童吞咽障碍康复的疗效观察

李爱霞1,左月仙1,贾革红2,马贵林1,杨花芳1,孙素真1   

  1. 1.河北省儿童医院神经内一科脑瘫康复指导中心,河北石家庄市 050031;2. 中国康复研究中心北京博爱医院听力语言科,北京市 100068
  • 收稿日期:2013-02-06 修回日期:2013-03-27 出版日期:2013-04-25 发布日期:2013-04-25
  • 通讯作者: 孙素真

Effect of Early Chinese Traditional Massage on Dysphagia for Children with Cerebral Palsy

LI Ai-xia, ZUO Yue-xian, JIA Ge-hong,et al   

  1. Department of Neurology, Children's Hospital of Hebei Province, Shijiazhuang 050031, Hebei, China
  • Received:2013-02-06 Revised:2013-03-27 Published:2013-04-25 Online:2013-04-25

摘要: 目的探讨早期中医手法介入对脑瘫儿童吞咽障碍康复疗效的影响。方法将伴有吞咽障碍的脑瘫患儿90 例分成对照组45 例和试验组45 例,对照组采用常规治疗方法进行康复训练,试验组采用中医手法按摩结合常规治疗方法进行康复训练,治疗前和治疗2 个月后采用吞咽障碍调查(DDS)第二部分——进食分析对两组患儿进行疗效评定。结果训练前两组患儿的吞咽障碍评分无显著性差异(P>0.05);训练后两组患儿的吞咽障碍评分较训练前显著改善(P<0.001),且试验组明显优于对照组(P<0.01),试验组临床疗效明显优于对照组(P<0.01)。结论中医手法按摩技术结合常规治疗方法可以明显提高脑瘫患儿吞咽障碍的康复疗效。

关键词: 脑性瘫痪, 吞咽障碍, 中医手法按摩

Abstract: Objective To explore the effect of Chinese traditional massage on the rehabilitation of dysphagia in cerebral palsy children in the early stage. Methods 90 cerebral children with dysphagia were divided into control group and experimental group with 45 cases in each group. The control group received conventional treatment and the experimental group received Chinese traditional massage in addition. The curative effects were evaluated according to the section two of deglutition disorders survey before and 2 months after treatment. Results There was no difference in the score of dysphagia between 2 groups before treatment (P>0.05). The scores decreased both in 2 groups (P<0.001) after treatment. The score was lower in the experiment group than in the control group (P<0.01) and the clinical efficiency was better in the experiment group than in the control group (P<0.01). Conclusion Chinese traditional massage combined with conventional treatment can facilitate the recovery of dysphagia in cerebral palsy children.

Key words: cerebral palsy, dysphagia, Chinese traditional massage