【摘要】：目的:探討頸動脈交感神經(jīng)網(wǎng)切除術(shù)(CPVS)對腦癱患兒吞咽障礙及流涎癥狀的療效。方法:納入符合標準的腦癱患兒21例(男12例,女9例)入手術(shù)組,同期納入相同例數(shù)的患兒(男13例,女8例)入對照組,兩組患兒在年齡、性別、病情上無明顯統(tǒng)計學(xué)差異。手術(shù)組行頸動脈交感神經(jīng)網(wǎng)切除術(shù)+康復(fù)治療,對照組僅行康復(fù)治療,分別采用洼田飲水試驗及Teacher流涎分級法對手術(shù)組術(shù)前、術(shù)后2周、術(shù)后6月及同期對照組的吞咽功能及流涎情況進行評價。結(jié)果:術(shù)后2周時,手術(shù)組與術(shù)前相比,吞咽功能及流涎情況均改善(吞咽功能為3.05±0.97對比3.52±0.68,流涎為3.00±1.00對比3.48±0.68),差異有統(tǒng)計學(xué)意義(P0.05);與同期對照組比較,手術(shù)組吞咽功能及流涎情況顯著改善(分別為3.05±0.97對比3.29±1.01,3.00±1.00對比3.24±1.04),差異具有統(tǒng)計學(xué)意義(P0.05)。術(shù)后6月時,手術(shù)組與術(shù)后2周比較無明顯差異(P0.05);與同期對照組比較,手術(shù)組吞咽功能及流涎明顯提高(分別為3.00±1.00對比3.24±0.99,2.95±1.02對比3.19±0.93),差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:頸動脈交感神經(jīng)網(wǎng)切除術(shù)有助于腦癱患兒吞咽功能的改善,減少腦癱患兒的流涎,提高腦癱患兒的生存質(zhì)量。
[Abstract]:Objective: to investigate the effect of carotid sympathetic reticulectomy (CPVS) on dysphagia and salivary symptoms in children with cerebral palsy. Methods: 21 children with cerebral palsy (12 males and 9 females) were enrolled into the operation group, and the same number of children (13 males and 8 females) were enrolled into the control group. There was no significant difference in the state of illness. The operation group was treated with carotid sympathetic reticulectomy, while the control group was only treated with rehabilitation. The patients in the operation group were treated with sag water test and Teacher salivation grading before operation and 2 weeks after operation, respectively. The swallowing function and salivation were evaluated 6 months after operation and at the same time in the control group. Results: at 2 weeks after operation, the swallowing function and salivation were improved in the operation group (the swallowing function was 3.05 鹵0.97 vs 3.52 鹵0.68, the salivation was 3.00 鹵1.00 vs 3.48 鹵0.68), the difference was statistically significant (P0.05). The swallowing function and salivation were significantly improved in the operation group (3.05 鹵0.97 vs 3.29 鹵1.01g 3.00 鹵1.00 vs 3.24 鹵1.04, respectively), the difference was statistically significant (P0.05). At 6 months after operation, there was no significant difference between the operation group and the 2 weeks after operation (P0.05), and the swallowing function and salivation in the operation group were significantly improved compared with the control group (3.00 鹵1.00 vs 3.24 鹵0.99U 2.95 鹵1.02 vs 3.19 鹵0.93, respectively) (P0.05). Conclusion: carotid sympathetic reticulectomy is helpful to improve the swallowing function of children with cerebral palsy, reduce the salivation of children with cerebral palsy, and improve the quality of life of children with cerebral palsy.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R726.5

【參考文獻】

相關(guān)期刊論文 前10條

1 逯霞;許健;閆寶鋒;張晶晶;欒新平;木塔里甫;艾克拜爾;買爾阿芭;;腦癱鼠行頸總動脈外膜剝脫術(shù)后顱內(nèi)血流動力學(xué)變化的實驗研究[J];中國醫(yī)學(xué)前沿雜志(電子版);2015年11期

2 介小素;侯玉晉;;針刺聯(lián)合神經(jīng)干細胞移植對腦性癱瘓幼鼠模型的作用機制[J];中國組織工程研究;2015年45期

3 趙家鵬;王家勤;常崇旺;王玉峰;馬世江;馮宇飛;;頸總動脈周圍交感神經(jīng)網(wǎng)剝脫切除術(shù)治療腦性癱瘓患兒的效果及對其認知功能的影響[J];中華實用兒科臨床雜志;2015年19期

4 劉俊華;王大斌;顧教偉;馮雪連;鄭昆;趙峰;;神經(jīng)干細胞移植治療腦性癱瘓:神經(jīng)修復(fù)的效果和安全性評估[J];中國組織工程研究;2015年19期

5 鄭宏;馮士梅;張建奎;馬丙祥;;針灸聯(lián)合按摩治療腦癱合并吞咽障礙的臨床研究[J];中國康復(fù)醫(yī)學(xué)雜志;2014年10期

6 李曉捷;唐久來;馬丙祥;秦炯;鄒麗萍;王家勤;;腦性癱瘓的定義、診斷標準及臨床分型[J];中華實用兒科臨床雜志;2014年19期

7 江崛;;針灸按摩康復(fù)治療小兒腦性癱瘓流涎癥的臨床觀察[J];重慶醫(yī)學(xué);2014年18期

8 陳建設(shè);王迎賓;劉義賓;楊永飛;馬云富;王世杰;;痙攣性腦癱的神經(jīng)外科個性化手術(shù)治療[J];中華醫(yī)學(xué)雜志;2014年05期

9 鄧佳音;丁志勇;林振浪;;腦發(fā)育障礙高危兒全身運動質(zhì)量評估與頭顱MRI檢查相關(guān)性分析[J];浙江中醫(yī)藥大學(xué)學(xué)報;2013年06期

10 ;Therapies for children with cerebral palsy A Web of Science-based literature analysis[J];Neural Regeneration Research;2012年33期

，

本文編號：2273635