探讨脑瘫吞咽障碍有效康复方案和疗效最佳评估时间.docVIP

探讨脑瘫吞咽障碍有效康复方案和疗效最佳评估时间 　　【摘要】#8195；目的#8195；通过探讨脑瘫吞咽障碍不同康复方案的疗效， 找出合理的康复方案及评估康复效果的最佳时间点。方法150例脑瘫合并吞咽障碍的患儿随机分为A、B、C三组， 于治疗前、治疗后3、6、12、18、24个月分别用量表1、量表4及量表7进行评分， 并进行重复测量方差分析。结果#8195；①组内不同时间点评分比较：C组最先出现统计学差异， 各组的评分均从6个月始分别与治疗前两两比较差异有统计学意义（P0.05）；B组与C组：量表1 ， 18个月始；量表4， 12个月始和量表7， 6个月始差异均有统计学意义（P0.05）。结论间接策略+直接策略是脑瘫吞咽障碍比较经济有效的治疗方案。康复治疗6个月是评估疗效的最佳时间点。 　　【关键词】#8195；脑瘫； 吞咽障碍；评估量表 　　Cerebral palsy dysphagia effective rehabilitation program and the best time to assess the curative effect#8195；HUANG Shu-yuan， QIN Chuan-ping， HUANG Li-ya， et al. Social Services Center of Longgang District， Shenzhen 518172， China 　　【Abstract】#8195；Objective#8195；To discuss curative effect of different cerebral palsy dysphagia rehabilitation programs to find reasonable rehabilitationprograms and the best time to assess the effect of rehabilitation. Methods#8195；Divided 150 cases of cerebral palsy patients with dysphagia were randomly into group A ， group B， group C. Before treatment， after 3-month， 6-month， 12-month，18-month and 24-month treatment， scale 1， scale 4 and scale 7 were respectively used to score， and repeated measures analysis of variance. Results#8195；①Score comparison in groups at different time，group C first appeared significant differences， Score comparison in all groups have highly significant difference between before treatment and 6 months after treatment（P0.01）. ②Pairwise comparison between groups at different time points： between group A and group B， there was significant difference in scale 1 and scale 4 scores after 24 months after treatment（P0.05）， there was no significant difference between group A and group C. Between group B and group C： there was significant difference in scale 1 scores form 18th months after treatment， in scale 4 scores from the 12th month after treatment and in scale 7 scores from the 6th months after treatment （P0.05）. Conclusion#8195；Indirect strategy+direct strategy are economic and effective method forcerebral palsy dysphagia rehabilitation