颈动脉交感神经网切除术对脑性瘫痪患儿吞咽障碍及流涎的疗效研究

发布时间：2018-10-15 19:42

【摘要】：目的:探讨颈动脉交感神经网切除术(CPVS)对脑瘫患儿吞咽障碍及流涎症状的疗效。方法:纳入符合标准的脑瘫患儿21例(男12例,女9例)入手术组,同期纳入相同例数的患儿(男13例,女8例)入对照组,两组患儿在年龄、性别、病情上无明显统计学差异。手术组行颈动脉交感神经网切除术+康复治疗,对照组仅行康复治疗,分别采用洼田饮水试验及Teacher流涎分级法对手术组术前、术后2周、术后6月及同期对照组的吞咽功能及流涎情况进行评价。结果:术后2周时,手术组与术前相比,吞咽功能及流涎情况均改善(吞咽功能为3.05±0.97对比3.52±0.68,流涎为3.00±1.00对比3.48±0.68),差异有统计学意义(P0.05);与同期对照组比较,手术组吞咽功能及流涎情况显著改善(分别为3.05±0.97对比3.29±1.01,3.00±1.00对比3.24±1.04),差异具有统计学意义(P0.05)。术后6月时,手术组与术后2周比较无明显差异(P0.05);与同期对照组比较,手术组吞咽功能及流涎明显提高(分别为3.00±1.00对比3.24±0.99,2.95±1.02对比3.19±0.93),差异有统计学意义(P0.05)。结论:颈动脉交感神经网切除术有助于脑瘫患儿吞咽功能的改善,减少脑瘫患儿的流涎,提高脑瘫患儿的生存质量。
[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 卤0.97 vs 3.52 卤0.68, the salivation was 3.00 卤1.00 vs 3.48 卤0.68), the difference was statistically significant (P0.05). The swallowing function and salivation were significantly improved in the operation group (3.05 卤0.97 vs 3.29 卤1.01g 3.00 卤1.00 vs 3.24 卤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 卤1.00 vs 3.24 卤0.99U 2.95 卤1.02 vs 3.19 卤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.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R726.5

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