《中国康复理论与实践》

《中国康复理论与实践》

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脑性瘫痪患儿流涎的评估和治疗研究进展①

王利江1，纪静丽2，温淑静3，侯梅1   

  1. 1.青岛市妇女儿童医院，山东青岛市266034；2.洛阳市第三人民医院，河南洛阳市471002；3.青岛市儿童福利院，山东青岛市266071。
  • 出版日期:2016-03-25 发布日期:2016-06-01

Assessment and Treatment for Salivation in Children with Cerebral Palsy (review)

WANG Li-jiang1, JI Jing-li2, WEN Shu-jing3, HOU Mei1   

  1. 1. Women and Children Hospital of Qingdao City, Qingdao, Shandong 266034, China; 2. Luoyang the Third People's Hospital, Luoyang, Henan 471002, China; 3. Qingdao Children's Welfare Home, Qingdao, Shandong 266071, China
  • Published:2016-03-25 Online:2016-06-01

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摘要： 4 岁以后，清醒状态下出现流涎为异常症状。脑瘫患儿唾液控制障碍导致流涎，影响患儿营养、社交和心理健康等。脑瘫流涎的评估分主观和客观两大类，前者有视觉模拟评分、教师流涎分级法、流涎频率和严重性评分、流涎商、流涎影响评分等，后者则包括Saxon 测试、棉拭子法等。流涎的治疗方法主要有口运动训练、流涎刺激因素的矫正、生物反馈疗法、药物、手术治疗，也有理疗和中医治疗的报道。

关键词: 脑性瘫痪, 流涎, 评估, 治疗, 综述

Abstract: Drooling in waking in children older than 4 years is considered as abnormal, which may be resulted from the saliva control barriers in children with cerebral palsy, and impair their nutrition, sociality and mental health, etc. Evaluation of salivation can be subjective and objective, which including visual analogue scale, Teacher Drooling Scale, Drooling Frequency and Severity Scale, drooling quotient and Drooling Impact Scale, etc., in the former, and Saxon test and swab approach, etc., in the latter. The treatment mainly included oral movement training, correcting pathological factors, biofeedback, medicine and surgery. Physiotherapy and acupuncture were also reported for salivation in children with cerebral palsy.

Key words: cerebral palsy, salivation, assessment, treatment, review