论文部分内容阅读
目的:通过观察针刺颈项部腧穴治疗儿童病毒性脑炎后合并吞咽障碍的临床疗效,以1周为时间窗,对干预时间进行疗效相关因素分析,为儿童病毒性脑炎后吞咽障碍的早期康复干预提供临床证据。方法:59例病毒性脑炎合并吞咽障碍的患儿按就诊顺序随机分为针刺组(30例)与吞咽训练组(29例),治疗时间为8周,分别采用Sheppard吞咽障碍调查问卷(DDS评分)、才藤荣一吞咽障碍7级评价法于治疗前、后进行疗效评价。干预时间评估以1周为时间窗,按干预时间(<1周及>1周)分为两组,疗效因素相关分析用DDS评分、才藤荣一吞咽障碍7级评价法的改善程度进行比较。结果:两组患儿治疗前评价,DDS评分、才藤荣一吞咽障碍7级评定差异均无统计学意义(P>0.05);治疗后评价,组内治疗前后DDS评分、才藤荣一吞咽障碍7级评定差异有统计学意义(P<0.05);组间比较,DDS评分差值及才藤荣一吞咽障碍7级评定差值差异有统计学意义(P<0.05)。两组患儿疗效比较,差异无统计学意义(P>0.05)。干预时间因素分析,<1周与>1周在DDS评分差值及才藤荣一吞咽障碍7级评定差值差异有统计学意义(P<0.05)。结论:针刺颈项部腧穴能改善病毒性脑炎合并吞咽障碍患儿的DDS评分与才藤荣一吞咽障碍评定分级,促进患儿吞咽功能的恢复。疗效评价与干预时机呈正相关,干预越早(<1周),疗效越好。
Objective: To observe the curative effect of acupuncture at acupoints of cervical neck on swallowing dyskinesia after viral encephalitis in children. One-week time window was used to analyze the therapeutic effect of intervention time, which was the early stage of swallowing disorder after viral encephalitis in children Rehabilitation interventions provide clinical evidence. Methods: Fifty-nine patients with viral encephalitis and swallowing dysfunction were randomly divided into acupuncture group (n = 30) and swallowing training group (n = 29) according to the order of treatment. The treatment time was 8 weeks. Sheppard dysphagia questionnaire DDS score), only rattan Rong swallowing 7 evaluation method before and after treatment efficacy evaluation. The intervention time was divided into two groups according to the time of intervention (<1 week and> 1 week). The DDS score was used to analyze the correlation between the efficacy factors and the improvement degree of the 7-step evaluation method of Teng Rong Yi swallowing disorder . Results: There was no significant difference in pre-treatment evaluation, DDS score, Caitengrong-swallowing dysfunction grade 7 assessment between the two groups (P> 0.05). After treatment, DDS scores before and after treatment (P <0.05). There was significant difference between the two groups in the level of DDS and the level of grade 7 in Chi Tung-yi-yi dysphagia (P <0.05). The two groups of children efficacy comparison, the difference was not statistically significant (P> 0.05). Intervention time factor analysis, <1 week and> 1 week in the DDS score difference and Katou Rongyi swallowing obstacle 7 grade difference was statistically significant difference (P <0.05). Conclusion: Acupuncture at the neck acupoints can improve the score of DDS in children with viral encephalitis complicated with swallowing disorders and the grading of the score of swallowing disorder of Tetsuo Sato and promote the swallowing recovery in children. Efficacy evaluation and the timing of intervention was positively correlated, the earlier the intervention (<1 week), the better the effect.