ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2019, Vol. 11 ›› Issue (1): 76-79.doi: 10.3969/j.issn.1674-3865.2019.01.021

• 临床研究 • 上一篇    下一篇

多学科协作模式在脑性瘫痪合并吞咽障碍患儿康复中的应用效果评价

赵宁，李洁，王春南，梁明明   

  1. 110032 沈阳，辽宁省儿童医院康复医学科
  • 出版日期:2019-02-25 发布日期:2019-07-11
  • 通讯作者: 王春南，E-mail：7712825695@qq.com
  • 作者简介:赵宁（1980-），女，副主任护师。研究方向：儿童康复护理
  • 基金资助:
    辽宁省科学技术计划项目（2014020185）

Evaluation of the effect of multidisciplinary cooperation mode in rehabilitation of children with cerebral palsy complicated with dysphagia

ZHAO Ning，LI Jie， WANG Chunnan，LIANG Mingming   

  1. Liaoning Children's Hospital,Shenyang 110032，China
  • Online:2019-02-25 Published:2019-07-11

PDF (PC)

117

摘要：
目的
探讨多学科团队协作模式在脑性瘫痪（简称脑瘫）合并吞咽障碍患儿康复中的应用效果。
方法
选择2017年4月至2018年4月辽宁省儿童医院收治的伴有吞咽障碍的脑瘫患儿100例，随机分为观察组和对照组各50例。对照组患儿给予常规脑瘫患儿吞咽治疗及康复护理，观察组采用以康复专科护士、康复科医师、营养科医师、治疗师、高压氧医师、心理医师组成的多学科团队协作模式进行康复治疗和护理。治疗8周后评定临床疗效及营养状况改善情况。
结果
两组患儿治疗后观察组疗效优于对照组，差异有统计学意义（P<0.05）。两组治疗后营养状况改善均好于治疗前，差异有统计学意义（P<0.05）。观察组治疗后营养状况改善好于对照组，差异有统计学意义（P<0.05）。
结论
多学科团队协作模式能有效提高脑瘫合并吞咽障碍患儿的吞咽功能、改善营养状况，有利于促进患儿的康复。

关键词: 脑性瘫痪, 吞咽障碍, 营养状况, 多学科协作, 儿童

Abstract:
Objective
To explore the effect of multidisciplinary cooperation mode in rehabilitation of children with cerebral palsy complicated with dysphagia.
Methods
A total of 100 children with cerebral palsy complicated with dysphagia who were hospitalized in the Department of Rehabilitation Medicine of Liaoning Children's Hospital from April 2017 to April 2018 were selected, and they were randomly divided into observation group and control group with 50 cases in each group by drawing lots. The control group was given swallowing treatment and rehabilitation nursing, which was conventional for children with cerebral palsy, while the observation group was given rehabilitation treatment and nursing by a multi-disciplinary cooperation mode composed of rehabilitation nurses, rehabilitation physicians, nutritionists, therapists, hyperbaric oxygen physicians and psychologists. Before treatment and 8 weeks after treatment, the swallowing function and nutritional status were compared between the two groups.
Results
The effect in the observation group was better than that in control group after treatment(P<0.05). The improvement in nutritional status in both groups was better after treatment than before treatment(P<0.05), and it was better in observation group than in control group(P<0.05).
Conclusion
Multidisciplinary cooperation mode can effectively improve the swallowing function and nutritional status children with cerebral palsy complicated with dysphagia, which is beneficial to the rehabilitation of children.

Key words: Cerebral palsy, Dysphagia, Nutritional status, Multidisciplinary cooperation, Child