早期康复对重度颅脑外伤吞咽困难患儿神经发育及吞咽功能的影响

doi:10.20047/j.issn1673-7210.2023.22.21

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Abstract Objective To investigate the effect of early rehabilitation on neurodevelopment and swallowing function in children with severe craniocerebral trauma and dysphagia. Methods A total of 84 children with severe craniocerebral trauma and dysphagia admitted to Hunan Provincial Children’s Hospital from January to October 2022 were selected and divided into control group (conventional treatment) and observation group (conventional treatment combined with early rehabilitation treatment) by random number table method, 42 cases in each group. Both groups were treated for four weeks. The dysphagia degree and nutritional status of the two groups before and after treatment were assessed by the Kubota water swallowing test, dysphagia disorders survey scale (DDS), weight for height Z score (WHZ), and the neurodevelopment of the two groups was assessed by gross motor function measure-88 (GMFM-88) and developmental quotient (DQ) of Gesell developmental diagnostic scale. Results After treatment, the scores of Kubota water swallowing test and part two of DDS in two groups were lower than those before treatment, and those of observation group were lower than those of control group (P＜0.05). After treatment, WHZ, GMFM-D part score, GMFM-E part score, gross motor DQ, and fine motor DQ in two groups were higher than those before treatment, and those of observation group were higher than those of control group (P＜0.05). Conclusion Early rehabilitation therapy has significant effect on children with severe craniocerebral trauma and dysphagia, which can effectively improve nutritional status and promote the recovery of neurodevelopmental swallowing function.

Key words： Early rehabilitation Craniocerebral trauma Dysphagia Neurodevelopment Swallowing function

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	LIU Chaoyu HU Jihong▲ HE Jinhua DUAN Yaqin XIONG Ying

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LIU Chaoyu HU Jihong▲ HE Jinhua DUAN Yaqin XIONG Ying. Effect of early rehabilitation on neurodevelopment and swallowing function in children with severe craniocerebral trauma and dysphagia[J]. 中国医药导报, 2023, 20(22): 97-100,157.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.22.21 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I22/97

[1] Yan N，Jiang J，Liu H，et al. Evidence-based bundled care for patients with dysphagia after severe traumatic brain injury：a randomized controlled trial [J]. Am J Transl Res，2021，13（7）：7819-7828.
[2] 易强，郑显兰，翟瑄，等.75例重型颅脑损伤儿童肢体肌力影响因素临床分析[J].重庆医科大学学报，2018，43（2）：187-191.
[3] 姚静.脑卒中后吞咽障碍患者针刺与康复训练的时机选择探讨[J].反射疗法与康复医学，2021，2（3）：22-24.
[4] 中国吞咽障碍康复评估与治疗专家共识组.中国吞咽障碍康复评估与治疗专家共识（2013年版）[J].中华物理医学与康复杂志，2013，35（12）：916-929.
[5] 程宝珍，林文风，冯志华，等.格拉斯哥昏迷评分在中重型颅脑损伤患者急救中的应用[J].中国急救复苏与灾害医学杂志，2015（10）：967-968.
[6] 李金玲，徐开寿，麦坚凝，等.康复治疗早期介入对重症脑损伤患儿意识障碍及运动功能的作用[C]//中国康复医学会儿童康复专业委员会，中国残疾人康复协会小儿脑瘫康复专业委员会.第三届全国儿童康复学术会第十届全国小儿脑瘫学术研讨会论文汇编，2008：3.
[7] 大西幸子，孙启良.摄食吞咽障碍实用技术[M].北京：中国医药科技出版社，2000：7-8.
[8] Calis EA，Veugelers R，Sheppard JJ，et al. Dysphagia in children with severe generalized cerebral palsy and intellectual disability [J]. Dev Med Child Neurol，2008，50（8）：625-630.
[9] de Onis M，Onyango A，Borghi E，et al. Worldwide implementation of the WHO child growth standards [J]. Public Health Nutr，2012，15（9）：1603-1610.
[10] Linder-Lucht M，Othmer V，Walther M，et al. Validation of the gross motor function measure for use in children and adolescents with traumatic brain injuries [J]. Pediatrics，2007，120（4）：880-886.
[11] Geng L，Yang Y. Retrospective study of rougan tongdu tuina combined with point-pressing massage therapy on neurodevelopment in children with delayed motor development at very early stage [J]. Transl Pediatr，2021，10（12）：3202- 3210.
[12] 窦祖林.吞咽障碍评估与治疗[M].北京：人民卫生出版社，2017：222-223.
[13] Halfpenny R，Stewart A，Kelly P，et al. Dysphagia rehabilitation following acquired brain injury，including cerebral palsy，across the lifespan：a scoping review protocol [J]. Syst Rev，2021，10（1）：312-318.
[14] 周丽丽，沈金莲.基于标准吞咽功能评估的分层护理在颅脑外伤术后吞咽障碍患者中的应用效果分析[J].中国药物与临床，2021，21（17）：3035-3037.
[15] Carnaby GD，LaGorio L，Silliman S，et al. Exercise-based swallowing intervention（McNeill dysphagia therapy）with adjunctive NMES to treat dysphagia post-stroke：a double-blind placebo-controlled trial [J]. J Oral Rehabil，2020，47（4）：501-510.
[16] 刘超宇，胡继红，何金华，等.精密型摄食训练对重度颅脑外伤吞咽困难患儿康复效果的影响[J].中国医药导报，2023，20（4）：96-99，107.
[17] 杨艳，彭永芳.神经肌肉电刺激联合吞咽功能训练在脑卒中后吞咽功能障碍中的应用价值[J].山西医药杂志，2020，48（11）：1385-1387.
[18] 陈名敏，龙宝珠.尿管球囊扩张联合早期呼吸训练治疗脑卒中后吞咽功能障碍的疗效[J].心血管康复医学杂志，2020，29（3）：276-280.
[19] Zhang W，Pan H，Zong Y，et al. Respiratory muscle training reduces respiratory complications and improves swallowing function after stroke：a systematic review and meta-analysis [J]. Arch Phys Med Rehabil，2022，103（6）：1179-1191.
[20] Doan TN，Ho WC，Wang LH，et al. Therapeutic effect and optimal electrode placement of transcutaneous neuromuscular electrical stimulation in patients with post-stroke dysphagia：a systematic review and meta-analysis of randomized controlled trials [J]. Life（Basel），2022，12（6）：875-890.
[21] 杨新利，栾春红，汪永华.神经肌肉电刺激结合康复训练对脑卒中患者神经功能及吞咽功能的影响[J].贵州医药，2019，43（1）：100-102.
[22] 闫瑾，郭泽春.呼吸训练结合神经肌肉电刺激治疗脑卒中后吞咽障碍的疗效[J].心血管康复医学杂志，2018， 27（4）：394-397.
[23] 陈赛泉，方慧萍.吞咽功能训练联合加速康复外科在口腔癌术后吞咽功能障碍患者中的应用效果[J].中国当代医药，2021，28（19）：246-249.
[24] 袁绘，于龙娟，谢珊，等.神经肌肉电刺激联合吞咽法治疗急性缺血性脑卒中后吞咽障碍的疗效分析[J].第二军医大学学报，2018，39（9）：1052-1055.
[25] 郭艳侠，张莹.神经肌肉电刺激联合吞咽训练治疗急性脑梗死后吞咽障碍临床研究[J].中国实用内科杂志，2019， 39（12）：1084-1087.
[26] 肖云，赵玉华，张旭，等.针刺联合神经肌肉电刺激治疗急性缺血性卒中后吞咽障碍临床研究[J].中国医药科学，2022，12（16）；65-68.
[27] 刘华，胡继红，段雅琴，等.吞咽功能训练联合呼吸干预对早产儿吞咽功能及早期神经发育的影响[J].中华物理医学与康复杂志，2020，42（10）：903-906.
[28] 王颖，和瑞欣，潘冉.醒脑开窍针法联合神经肌肉电刺激对颅脑损伤吞咽障碍患者吞咽功能及血清蛋白水平的影响[J].上海针灸杂志，2020，39（6）：676-681.