摘要
目的探讨饮食行为干预促进脑瘫高危儿生长发育的临床效果。方法选取2018年1月至2019年12月在桂林市妇幼保健院小儿神经康复科就诊的脑瘫高危儿74例为研究对象,随机分为对照组(36例)和观察组(38例)。对照组患儿给予常规喂养干预;观察组患儿在常规喂养的基础上,对患儿家属进行患儿口腔按摩、咀嚼、吞咽训练等培训,指导家属在喂养过程中对患儿进行口腔按摩刺激训练。比较两组患儿干预前及干预6个月后的饮食行为评分、身高、体质量。结果干预前,两组的患儿饮食行为评分比较差异无统计学意义(P>0.05);干预6个月后,两组患儿的饮食行为评分均显著降低,观察组患儿的评分显著低于对照组,差异有统计学意义(P<0.05)。干预前,两组患儿的身高、体质量比较差,异无统计学意义(P>0.05);干预6个月后,两组患儿的身高、体质量均显著增加,观察组患儿的水平显著高于对照组,差异有统计学意义(P<0.05)。结论饮食行为干预可显著改善脑瘫高危儿的喂养困难状况,有效促进患儿的生长发育。
Objective To explore the clinical effects of dietary behavior intervention in promoting the growth and development of high-risk children with cerebral palsy.Methods A total of 74 high-risk children with cerebral palsy treated in the Pediatric Neurological Rehabilitation Department of Guilin Maternal and Child Health Hospital from January 2018 to December 2019 were selected as the research objects,and they were randomly divided into control group(36 cases)and observation group(38 cases).Children in the control group were given routine feeding intervention,based on which the training of oral massage,chewing,and swallowing was given to the families of children,and the instruction was conducted to the families of children in performing oral massage stimulation on the children during the feeding process training.The dietary behavior scores,height,and bodyweight of the children before and 6 months after the intervention were compared between the two groups.Results Before the intervention,there was no statistically significant difference in the dietary behavior scores between the two groups(P>0.05).After 6 months of intervention,the dietary behavior scores of the two groups significantly decreased,and the scores of the observation group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).Before the intervention,the height and bodyweight of the two groups were relatively poor,with no statistically significant differences(P>0.05).After 6 months of intervention,the height and bodyweight of the two groups increased significantly,and the levels of the children in the observation group were significantly higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Dietary behavior intervention can significantly improve the feeding difficulties of high-risk children with cerebral palsy and effectively promote the growth and development of children.
作者
莫先慧
徐刚
秦麒博
林明
林贤仁
MO Xianhui;XU Gang;QIN Qibo;LIN Ming;LIN Xianren(Guilin Women and Children′s Hospital,Guilin 541001,Guangxi,China;Guangxi Maternal and Child Health Hospital,Nanning 530003,Guangxi,China)
出处
《内科》
2020年第6期644-646,共3页
Internal Medicine
基金
广西自然科学基金项目(2013GXNSFAA019256)。
关键词
脑瘫高危儿
饮食行为干预
生长发育
High-risk children with cerebral palsy
Dietary behavior intervention
Growth and development
