口肌运动训练对脑瘫患儿语言发育及流涎的影响

Effects of oral muscle training on language development and salivation in children with cerebral palsy

目的观察应用口肌运动训练联合综合康复训练对脑瘫患儿语言发育及流涎的影响,以期为脑瘫儿童康复训练提供借鉴。方法选取2018年8月-2019年12月于柳州市妇幼保健院接受治疗的62例脑瘫患儿为研究对象,按随机数字表法分为研究组和对照组,每组各31例。干预组给予综合康复训练联合口肌运动训练,对照组给予综合康复训练。分析治疗前、治疗1个疗程及2个疗程后所有患儿的语言发育、流涎分级及吞咽功能,比较治疗后的临床效果。结果治疗前,两组患儿语言发育评分、构音语音发育评分、流涎分级、吞咽功能得分相比,差异无统计学意义(P>0.05);治疗1个疗程及2个疗程后,两组患儿语言发育评分、构音语音发育评分均较治疗前明显提高,吞咽功能得分均较治疗前明显降低,流涎分级1级比例明显增多,且干预组患儿临床疗效(χ^(2)=7.381、7.123)、语言发育评分(t=5.624、4.361)、构音语音发育评分(t=4.911、4.202)、吞咽功能得分均优于对照组(t=8.493、6.262),流涎分级1级比例明显高于对照组,差异具有统计学意义(H=4.381、7.715,P<0.05)。结论在脑瘫患儿中采用口肌运动训练联合综合康复训练可有效提高临床疗效,提高语言发育,改善流涎状况及吞咽功能,值得临床推广使用。

Objective To observe the effects of oral muscle exercise training combined with comprehensive rehabilitation training on the language development and salivation of children with cerebral palsy,so as to provide reference for the rehabilitation training of children with cerebral palsy.Methods A total of 62 children with cerebral palsy who received treatment in Liuzhou Maternal and Child Health Hospital from August 2018 to December 2019 were selected as the study subjects.According to the random number table method,the participants were divided into study group and control group,with 31 cases in each group.The control group was given comprehensive rehabilitation training,while the intervention group received oral muscle exercise training additionally.The language development,salivation grading and swallowing function of all children were analyzed and compared before treatment,after 1 course of treatment and 2 courses of treatment.And the clinical effect after treatment was compared.Results Before treatment,there were no significant differences in language development scores,articulation and speech development scores,salivation grading and swallowing function scores between study group and control groups(P>0.05).After 1 and 2 courses of treatment,the assessment score of language development and articulation development obviously improved in both groups,the swallowing function score in both groups was significantly decreased,the proportion of mild salivate cases significantly increased.Moreover,the clinical efficacy(χ^(2)=7.381,7.123),language development(t=5.624,4.361)and articulation development(t=4.911,4.202),swallowing function(t=8.493,6.262)of the study group were significantly better than those in control group after 1 and 2 courses of treatment,and the proportion of mild salivate cases was significantly higher in study group(H=4.381,7.715,P<0.05).Conclusion Oral muscle exercise training combined with comprehensive rehabilitation training in children with cerebral palsy can effectively improve the clinical efficacy,improve language development,salivation status and swallowing function,and is worthy of clinical popularization.