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目的探讨脑性瘫痪儿童摄食和口运动功能障碍的特征。方法通过问卷与现场观察评价摄食能力,通过神经运动学检查评价口腔器官的运动功能,按照正常儿童摄食发育和口运动情况判定结果。结果88.1%的脑瘫患儿存在口运动障碍,主要表现为口腔器官肌肉痉挛、主动运动减少且不协调和/或不随意运动;90.5%以上患儿有不同程度的摄食障碍,表现为咀嚼困难、吸吮和吞咽困难等。结论口运动及摄食障碍是脑瘫患儿的严重问题之一,正确的评价和治疗具有重要意义。
Objective To investigate the features of feeding and oral motor dysfunction in children with cerebral palsy. Methods The feeding ability was evaluated by questionnaire and field observation, the motor function of oral organs was evaluated by neuro-kinematic test, and the results were judged according to normal children’s feeding development and mouth movements. Results 88.1% of children with cerebral palsy had dyskinesia, mainly manifested as muscle spasms in oral organs, decreased and uncoordinated motor movement and / or involuntary movement. More than 90.5% of children had varying degrees of eating disorders with masticatory difficulties, Sucking and swallowing difficulties. Conclusions Oral motility and eating disorders are one of the most serious problems in children with cerebral palsy. Correct evaluation and treatment are of great significance.