Krick J, Van Duyn M A
J Am Diet Assoc. 1984 May;84(5):555-9.
Growth retardation in the pediatric cerebral palsy population has been well documented in the literature. No attempt had been made to examine the extent to which this growth retardation is affected by the presence or absence of oral-motor dysfunction. In our retrospective pilot study, the growth of 12 children (8 girls, 4 boys) with cerebral palsy and oral-motor impairment was compared with the growth of an age- and sex-matched control group of 12 children with cerebral palsy but no oral-motor impairment. The growth parameters examined were weight for age, height for age, and weight for height. Data analysis used both the actual measurements and Z scores. Comparisons were made not only between groups but also with NCHS standards at the 50th percentile for specific age and sex. Results indicated that children with oral-motor impairment had depressed weight for age (Z score, p = .002) and height (Z score, p = .049) and depressed height for age (Z score, p = .055). These results suggest a previously undocumented relationship between oral-motor impairment and growth retardation.
小儿脑性瘫痪人群生长发育迟缓在文献中已有充分记载。此前未有人尝试研究这种生长发育迟缓在多大程度上受口部运动功能障碍存在与否的影响。在我们的回顾性试点研究中，将12名患有脑性瘫痪且存在口部运动障碍的儿童（8名女孩，4名男孩）的生长情况，与12名年龄和性别匹配、患有脑性瘫痪但无口部运动障碍的对照组儿童的生长情况进行了比较。所检测的生长参数为年龄别体重、年龄别身高和身高别体重。数据分析同时采用了实际测量值和Z评分。不仅在两组之间进行了比较，还与特定年龄和性别的第50百分位数的美国国家卫生统计中心（NCHS）标准进行了比较。结果表明，存在口部运动障碍的儿童年龄别体重（Z评分，p = 0.002）、身高（Z评分，p = 0.049）以及年龄别身高（Z评分，p = 0.055）均较低。这些结果表明口部运动障碍与生长发育迟缓之间存在一种此前未被记录的关系。
