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目的比较常规疗法与综合疗法在治疗脑性瘫痪(CP)患儿吞咽障碍的作用。方法将64例CP并吞咽障碍患儿分为综合治疗组和对照组。对照组采用常规内科药物治疗;综合治疗组进行针刺、吞咽功能训练及药物治疗,针刺选用穴位根据中医辨证选穴,吞咽训练包括口周肌肉按摩、关节松动及患儿主动训练等。每个疗程21 d,治疗3个疗程后行吞咽功能康复评定。结果经3个疗程治疗,2组患儿吞咽功能均较治疗前有所改变,综合治疗组总有效率为78.8%,对照组总有效率为41.9%,2组总有效率比较,差异有统计学意义(P<0.01)。结论综合治疗能明显改善CP患儿的吞咽功能。
Objective To compare the effects of conventional therapy and general therapy on dysphagia in children with cerebral palsy (CP). Methods Sixty-four children with CP and swallowing dysfunction were divided into comprehensive treatment group and control group. The control group received routine medical treatment. The comprehensive treatment group received acupuncture and swallowing functional training and drug treatment. The acupoints were selected according to TCM syndrome differentiation and acupoint selection. Swallowing training included perioral muscle massage, joint loosening and active training in children. Each course of 21 d, 3 courses of treatment swallowing functional rehabilitation assessment. Results After three courses of treatment, the swallowing function in both groups was changed compared with those before treatment. The total effective rate was 78.8% in the comprehensive treatment group and 41.9% in the control group. The total effective rate in the two groups was statistically different Significance (P <0.01). Conclusion Comprehensive treatment can significantly improve swallowing function in children with CP.