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目的观察早期干预对脑性瘫痪(脑瘫)患儿进食困难的治疗效果。方法温州市第二人民医院于2002-03—2004-10,对收治的34例脑瘫患儿(观察组)进行摄食及口咽运动康复训练6个月至1年后进行进食功能评价;对同期康复门诊42例脑瘫患儿(对照组)在常规康复初期即进行进食功能评价,将两组评价结果进行比较。结果观察组较对照组各种进食功能障碍,吸吮困难、吞咽困难、食物送入手或口困难、用杯喝水困难,咀嚼半固体或固体食物困难的发生率明显降低,两组差异具显著性,P<0.05。结论对可能有发育障碍的脑瘫患儿及早开始进行进食能力及口咽运动训练能改善其进食功能。
Objective To observe the effect of early intervention on eating difficulty in children with cerebral palsy (cerebral palsy). Methods The Second People’s Hospital of Wenzhou City, 2002-03-2004-10, evaluated the eating function of 34 children with cerebral palsy (observation group) who were treated and rehabilitated from 6 months to 1 year. Forty-two children with cerebral palsy in rehabilitation clinic (control group) were evaluated for eating function at the beginning of routine rehabilitation, and the results of two groups were compared. Results The observation group than the control group all kinds of eating dysfunction, dyspnea, difficulty swallowing, food delivery difficulties in hand or mouth, drinking water cup difficult, chewing solid or solid food significantly reduced the incidence of difficulty, the difference between the two groups was significant , P <0.05. Conclusion Early onset of eating ability and oropharyngeal training in children with cerebral palsy who may have dysplasia can improve their eating function.