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脑性瘫痪患儿摄食与口运动障碍的探讨

Feeding Problems and Oral Motor Dysfunction in Children with Cerebral Palsy
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摘要 目的:探讨脑性瘫痪儿童摄食和口运动功能障碍的特征。方法:通过问卷与现场观察评价摄食能力,神经运动学检查评价口腔器官的运动功能,按照正常儿童摄食发育和口运动情况判定结果。结果:88%的脑瘫患儿存在口运动障碍,主要表现为口腔器官肌肉痉挛,主动运动减少且不协调和/或不随意运动;90%以上患儿有不同程度的摄食障碍,表现为咀嚼困难,吸吮和吞咽困难等。结论:口运动及摄食障碍是脑瘫患儿的严重问题之一,正确的评价和治疗具有重要意义。 Objective: To investigate the characteristics of feeding difficulties and oral motor dysfunction in children withcerebral palsy. Methods: The feeding skills and oral motor function in 49 children with cerebral palsy were assessed by means ofquestionnaire, observational measures and neurological examination as compared with normal children. Results:Among 49 cas-es, 42 had clinically significant oral motor dysfunction including myospasm, decreased voluntary action and or increased un-voluntary action.More than 90% had feeding problems such as dysmasesia,sucking and swallowing problems. Conclusions:Themajority of children with cerebral palsy had clinically significant oral motor dysfunction and feeding difficulties, Both assessmentand treatment are very important.
出处 《现代康复》 CSCD 1999年第8期916-917,共2页 Modern Rehabilitation
关键词 脑性瘫痪 摄食行为 口运动障碍 吞咽困难 Cerebral palsy Feeding difficulty Oral motor dysfunction.
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