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 ›› 2016, Vol. 8 ›› Issue (4): 393-396.doi: 10.3969/j.issn.1674-3865.2016.04.007

• 临床论著 • 上一篇    下一篇

脑性瘫痪儿童下颌运动障碍的临床研究

庄亚楠,周雪,赵师磊,黄丹丹,张凯新,李磊   

  1. 154002 黑龙江 佳木斯,佳木斯大学康复医学院2012级康复治疗学专业本科生(庄亚楠,赵师磊,黄丹丹,张凯新,李磊);佳木斯大学附属第三医院言语治疗部(周雪)
  • 出版日期:2016-08-25 发布日期:2018-11-19
  • 通讯作者: 周雪,E-mail:350664657@qq.com
  • 作者简介:庄亚楠(1992-),女,康复治疗师。研究方向:儿童脑性瘫痪构音障碍的矫治
  • 基金资助:
    佳木斯大学大学生科技创新项目(XSYM2014-103)

Clinical study of mandibular movement disorders in children with cerebral palsy

ZHUANG Yanan,ZHOU Xue,ZHAO Shilei,HUANG Dandan,ZHANG Kaixin,LI Lei   

  1. The College of Rehabilitation Medicine, Jiamusi University,Jiamusi 154002,China.
  • Online:2016-08-25 Published:2018-11-19

摘要:
目的:了解不同类型脑性瘫痪(简称脑瘫)儿童下颌运动障碍情况。
方法:2014年6月至2015年6月在黑龙江省小儿脑性瘫痪防治疗育中心收治的不同类型脑瘫患儿4-3例为观察组,其中混合型及不随意运动型18例,痉挛型25例。同期选择佳木斯市某幼儿园就读正常儿童40例为对照组。采用《下颌运动功能测评调查表》观察、测评和记录儿童的下颌运动能力。
结果:观察组测评得分与对照组相比差异均有统计学意义(P<0.05,0.01)。混合型及不随意型组与对照组比较,各项下颌运动测评分数差异均有统计学意义(P<0.05,0.01)。痉挛型组与对照组比较,除下颌前伸运动、下颌左右连续运动测评分数差异无统计学意义(P>0.05)外,其他各项下颌运动测评分数差异均有统计学意义(P<0.01)。混合型及不随意型组与痉挛型组相比,除下颌前伸运动测评分数差异无统计学意义(P>0.05)外,其他各项下颌运动测评分数差异均有统计学意义(P<0.01),且痉挛型组得分均高于混合型及不随意型组。
结论:下颌运动障碍是脑瘫儿童普遍存在的一种构音器官运动障碍,不同类型的患儿其下颌运动障碍的形式及严重程度也有明显差异。

关键词: 脑性瘫痪, 下颌运动障碍, 构音器官运动障碍, 儿童

Abstract:


Objective:To understand the situation of mandibular movement disorders in children with different types of cerebral palsy(CP).
Methods:Choose 4-3 cases of different types of cerebral palsy who had been in the Cerebral Palsy Prevention and Treatment Center of Heilongjiang Province from June 2014 to June 2015 as the observation group, including 18 cases of mixed type and dyskinetic type, 25 cases of spastic type. At the same time, 40 normal children in a kindergarten in Jiamusi were selected as the control group. Mandibular Movement Function Evaluation Questionnaire was used to observe, evaluate and record the mandibular movement ability of the children.
Results:The scores of the observation group and the control group had statistically significant difference(P<0.05,0.01). Compared with the control group, the mandibular movement test scores of the mixed and dyskinetic type group had statistically significant difference(P<0.05,0.01). Compared with the control group, except that mandibular protrusion movement and the left and right movement test scores had no statistically significant difference(P>0.05), other differences in the mandibular movement test scores were statistically significant(P<0.01) in the spastic group. Compared with spastic group, except that mandibular anterior extension evaluating score was not statistically significant(P>0.05), other differences in the mandibular movement test scores were statistically significant(P<0.01) in the mixed and dyskinetic group, and the scores of the spastic group were higher than the mixed and dyskinetic group.
Conclusion:Mandibular movement disorder is a kind of articulation organ movement disorder in children with cerebral palsy, and there are significant differences in the form and severity in children with different types of mandibular movement disorders.

Key words: Cerebral palsy, Mandibular movement disorder, Articulation organ movement disorder, Children