4至7岁脑瘫患儿喂养情况的纵向变化
Longitudinal changes in feeding among children with cerebral palsy between the ages of 4 and 7 years.
作者信息
Clancy Katie J, Hustad Katherine C
机构信息
University of Wisconsin-Madison, USA.
出版信息
Dev Neurorehabil. 2011;14(4):191-8. doi: 10.3109/17518423.2011.568467.
OBJECTIVE
To examine differences in feeding among children with cerebral palsy (CP) who varied in the severity of their oral motor involvement; to examine longitudinal change in feeding behaviours for different severity groups.
METHOD
Twenty-three children with CP participated (mean age = 4.53 years at the first time point). Feeding data were collected from parent questionnaires at 6 month intervals over 30 months.
RESULTS
Significant differences were observed among severity groups for all feeding variables except coughing and choking during meals. Only one variable, coughing, showed significant change over time.
CONCLUSIONS
Children with CP who had severe oral-motor involvement had marked and pervasive feeding difficulties which showed some fluctuation with time, but generally were stable. Children with CP who did not have oral motor involvement and those who had mild-moderate involvement also showed little-to-no change over time and had fewer problems than those in the severe group.
目的
研究口腔运动功能受累程度不同的脑瘫（CP）患儿在喂养方面的差异；探讨不同严重程度组喂养行为的纵向变化。
方法
23名脑瘫患儿参与研究（首次测量时平均年龄为4.53岁）。在30个月内每隔6个月通过家长问卷收集喂养数据。
结果
除进餐时咳嗽和噎食外，所有喂养变量在严重程度组间均观察到显著差异。只有一个变量，即咳嗽，随时间有显著变化。
结论
口腔运动功能严重受累的脑瘫患儿存在明显且普遍的喂养困难，虽随时间有一定波动，但总体稳定。口腔运动功能未受累及轻度至中度受累的脑瘫患儿随时间变化也很小或无变化，且问题比严重组少。
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