神经肌肉电刺激配合口肌训练在改善流涎中的应用研究(1)
摘要：目的 探讨神经肌肉电刺激配合口肌训练在改善流涎中的应用效果。方法 选取我院收治的流涎患儿94例为研究对象，随机单盲对照法将患儿分为对照组和研究组，各47例，对照组患儿给予神经肌肉电刺激治疗，研究组患儿在此基础上配合口肌训练。根据流涎分级(TDS)评估两组患儿治疗前后临床疗效，记录两组患儿流涎评分情况，应用Pearman相关分析口肌训练配合程度与流涎评分的关系。结果 对照组患儿总有效率为63.80%，低于研究组的85.12%，差异有统计学意义(P<0.05);治疗后，研究组患儿流涎评分低于对照组，差异有统计学意义(P<0.05);口操训练配合评分与流涎评分呈负相关(r=-0.901，P=0.000)。结论 神经肌肉电刺激配合口肌训练能有效提高流涎患儿的临床疗效，且患儿口肌训练配合程度越好，疗效越好。
关键词：流涎;神经肌肉电刺激;口肌训练
中图分类号：R749.05 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.03.031
, http://www.100md.com
文章编号：1006-1959(2019)03-0102-03
Abstract：Objective To explore the application effect of neuromuscular electrical stimulation combined with mouth muscle training in improving salivation.Methods A total of 94 children with salivation admitted to our hospital were enrolled. The patients were divided into the control group and the study group by randomized single-blind control. 47 patients in each group were given neuromuscular electrical stimulation. On this basis， cooperate with the mouth muscle training. The clinical efficacy of the two groups before and after treatment was evaluated according to the classification of hooliganism (TDS). The scores of the two groups were recorded. The relationship between the degree of training of the mouth muscles and the salivation score was analyzed by Pearman correlation analysis.Results The total effective rate was 63.80% in the control group， which was lower than 85.12% in the study group，the difference was statistically significant (P<0.05). After treatment， the children in the study group had lower rogue score than the control group，the difference was statistically significant(P<0.05); oral training training score was negatively correlated with salivation score (r=-0.901，P=0.000).Conclusion Neuromuscular electrical stimulation combined with oral muscle training can effectively improve the clinical efficacy of children with salivation， and the better the degree of training of the mouth muscles， the better the curative effect.
, 百拇医药
Key words：Salivation;Neuromuscular electrical stimulation;Mouth muscle training
流涎(salivation)亦稱小儿流涎，是幼儿最常见的疾病之一，是一种以流口水较多为特征的病症[1]。病理性流涎常见于脑发育疾病患儿中，如脑性瘫痪、先天性痴呆、孤独症等。目前针对流涎的康复主要以物理治疗为主[2]，神经肌肉电刺治疗仪也称吞咽功能障碍治疗仪，是治疗流涎的常用方法，在临床治疗中取得了较好的疗效[3，4]。口肌训练是近年来针对患儿口腔感知觉及运动障碍提出来的一种综合训练方法，对提高患儿口腔感知觉运动，改善流涎有积极的影响[5]。为探究两者联合应用的效果，本课题以94例流涎患儿为研究对象，观察了神经肌肉电刺激配合口肌训练对改善流涎的临床疗效，现报道如下。, 百拇医药(贺媛 马丽红 杨飞)
关键词：流涎;神经肌肉电刺激;口肌训练
中图分类号：R749.05 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.03.031
, http://www.100md.com
文章编号：1006-1959(2019)03-0102-03
Abstract：Objective To explore the application effect of neuromuscular electrical stimulation combined with mouth muscle training in improving salivation.Methods A total of 94 children with salivation admitted to our hospital were enrolled. The patients were divided into the control group and the study group by randomized single-blind control. 47 patients in each group were given neuromuscular electrical stimulation. On this basis， cooperate with the mouth muscle training. The clinical efficacy of the two groups before and after treatment was evaluated according to the classification of hooliganism (TDS). The scores of the two groups were recorded. The relationship between the degree of training of the mouth muscles and the salivation score was analyzed by Pearman correlation analysis.Results The total effective rate was 63.80% in the control group， which was lower than 85.12% in the study group，the difference was statistically significant (P<0.05). After treatment， the children in the study group had lower rogue score than the control group，the difference was statistically significant(P<0.05); oral training training score was negatively correlated with salivation score (r=-0.901，P=0.000).Conclusion Neuromuscular electrical stimulation combined with oral muscle training can effectively improve the clinical efficacy of children with salivation， and the better the degree of training of the mouth muscles， the better the curative effect.
, 百拇医药
Key words：Salivation;Neuromuscular electrical stimulation;Mouth muscle training
流涎(salivation)亦稱小儿流涎，是幼儿最常见的疾病之一，是一种以流口水较多为特征的病症[1]。病理性流涎常见于脑发育疾病患儿中，如脑性瘫痪、先天性痴呆、孤独症等。目前针对流涎的康复主要以物理治疗为主[2]，神经肌肉电刺治疗仪也称吞咽功能障碍治疗仪，是治疗流涎的常用方法，在临床治疗中取得了较好的疗效[3，4]。口肌训练是近年来针对患儿口腔感知觉及运动障碍提出来的一种综合训练方法，对提高患儿口腔感知觉运动，改善流涎有积极的影响[5]。为探究两者联合应用的效果，本课题以94例流涎患儿为研究对象，观察了神经肌肉电刺激配合口肌训练对改善流涎的临床疗效，现报道如下。, 百拇医药(贺媛 马丽红 杨飞)