摘要
目的观察口肌训练游戏对脑瘫患儿流涎症的影响。方法采用随机数字表法将脑瘫合并流涎症的68例患儿分为试验组及对照组,每组34例。对照组采用常规的康复治疗,试验组在对照组的基础上施行口肌训练游戏。2组患儿在干预前、干预后8周均采用教师流涎分级法(TDS)、《口部运动功能评估分级标准》对脑瘫患儿流涎情况及口部运动功能进行评估。结果干预8周后,试验组有30例Ⅲ~Ⅴ级流涎患儿转为Ⅰ~Ⅳ级,对照组有21例Ⅲ~Ⅴ级流涎患儿转为Ⅰ~Ⅳ级,试验组TDS总有效率为88.2%(30/34),对照组为61.80%(21/34),差异有统计学意义(χ^2=5.02,P<0.05);口部运动功能总评分,试验组为(87.68±12.93)分,对照组为(76.53±10.92)分,差异有统计学意义(t=3.841,P<0.01)。结论口肌训练游戏可激发脑瘫患儿进行口部运动的自我探索与训练,增进下颌、唇、舌运动的范围以及灵活性和力量,促进自主控制下唾液的吞咽,减少流涎,提高生命质量。
Objective To explore the effect of mouth muscle training game on salivation cerebral palsy children.Methods Sixty-eight children with cerebral palsy combined with salivation were randomly divided into experimental group and control group,with 34 cases in each group.The control group received routine rehabilitation treatment,while the experimental group performed oral muscle training game on the basis of the control group.Both the two groups were assessed by teacher salivation grading(TDS)and oral motor function assessment grading standards before and 8 weeks after intervention for salivation and oral motor function of cerebral palsy children.Results After 8 weeks of intervention,there were 30 children with gradeⅢ~Ⅴsalivation turned to gradeⅠ~Ⅳin the experimental group,and 21 children with gradeⅢ~Ⅴsalivation turned to gradeⅠ~Ⅳin the control group,with the total effective rate of TDS of 88.2%(30/34)and 61.8%(21/34),respectively,and there was statistically difference(χ^2=5.02,P<0.05).The score of oral transport function in the experimental group was 87.68±12.93,which was higher than that of 76.53±10.92 in the control group,and there was statistically differences(t=3.841,P<0.01).Conclusions Oral muscle training games can stimulate self-exploration and training for oral movement of cerebral palsy children,so as to improve the range,flexibility and strength of the jaw,lip and tongue movement,and promote the self-control of swallowing of saliva,reduce the salivation and improve the quality of life.
作者
曾丽玉
陈靖云
黄却英
Zeng Liyu;Chen Jingyun;Huang Queying(Department of Neurological Rehabilitation,Quanzhou Children's Hospital,Fujian Province,Quanzhou 362000,China)
出处
《中国实用护理杂志》
2019年第18期1400-1404,共5页
Chinese Journal of Practical Nursing
关键词
脑性瘫痪
流涎症
口肌训练
游戏
Cerebral palsy
Salivation
Oral muscle training
Games
