文章摘要

针刺、高压氧同步基础康复训练对病毒性脑炎后吞咽障碍患儿脑电图和临床症状的影响

作者: 1李文霞, 1耿香菊, 1尚清
1 郑州大学附属儿童医院,河南省儿童医院,郑州儿童医院康复医学科,郑州 450053
通讯: 尚清 Email: sqing1965@163.com
DOI: 10.3978/j.issn.2095-6959.2018.06.024

摘要

目的:探讨针刺、高压氧同步基础康复训练对病毒性脑炎后吞咽障碍患儿脑电图和临床症状的影响。方法:将郑州儿童医院收治的142例病毒性脑炎后吞咽障碍患儿随机分为研究组和对照组,每组各71例。对照组给予基础康复训练及常规对症治疗,研究组加用针刺和高压氧治疗。比较两组治疗前后吞咽功能、脑电图(electroencephalogram,EEG)及临床症状等情况。结果:与对照组相比,研究组总有效率偏高,两组间临床疗效存在显著差异(P<0.05);两组患儿治疗后吞咽功能均明显改善,研究组吞咽功能优于对照组(Z=7.62,P<0.05);研究组患儿意识障碍、惊厥、言语障碍、颅神经障碍、肢体功能障碍恢复时间均较对照组偏短(P<0.05);研究组治疗后EEG异常率及6个月内吸入性肺炎发生率均较对照组偏低(P<0.05)。结论:针刺、高压氧同步基础康复训练治疗病毒性脑炎后吞咽障碍患儿的疗效明显,可促进患儿吞咽功能、临床症状及EEG的恢复,减少其恢复期吸入性肺炎的发生。
关键词: 病毒性脑炎;吞咽障碍;脑电图;针刺;高压氧

Effects of acupuncture, hyperbaric oxygen and basic rehabilitation training on electroencephalogram and clinical symptoms in children patients with dysphagia after viral encephalitis

Authors: 1,2LI Wenxia, 1,2GENG Xiangju, 1,2SHANG Qing
1 Department of Rehabilitation, Children’s Hospital Affiliated to Zhengzhou University, Henan Children’s Hospital,
2 Zhengzhou Children’s Hospital, Zhengzhou 450053, China

CorrespondingAuthor: SHANG Qing Email: sqing1965@163.com

DOI: 10.3978/j.issn.2095-6959.2018.06.024

Abstract

Objective: To explore the effects of acupuncture, hyperbaric oxygen and basic rehabilitation training on electroencephalogram and clinical symptoms in children patients with dysphagia after viral encephalitis. Methods: A total of 142 children with dysphagia after viral encephalitis admitted to our hospital were randomly divided into a study group (n=71) and a control group (n=71). The control group was given basic rehabilitation training and routine symptomatic treatment, and the study group was additionally given acupuncture and hyperbaric oxygen therapy. The swallowing function, electroencephalogram (EEG) and clinical symptoms were compared between the two groups before and after treatment. Results: The total effective rate was higher in the study group than that in the control group, and there was significant difference in clinical efficacy between the two groups (P<0.05). After the treatment, the swallowing function in two groups was significantly improved, and the swallowing function in the study group was better than that in the control group (Z=7.62, P<0.05). The recovery times of consciousness disorder, convulsion, speech disorder, cranial nerve disorder and limb dysfunction in the study group were shorter than those in the control group (P<0.05). The abnormal rate of EEG and the incidence rate of aspiration pneumonia within 6 months in the study group were lower than those in the control group (P<0.05). Conclusion: Acupuncture, hyperbaric oxygen and basic rehabilitation training for children with dysphagia after viral encephalitis can have exact efficacy, and promote the recovery of swallowing function, clinical symptoms and EEG, and reduce the occurrence of aspiration pneumonia during convalescent stage.
Keywords: viral encephalitis; dysphagia; electroencephalogram; acupuncture; hyperbaric oxygen

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