| 何晓霞,李红玲,黄茂,王桂英,张周,任泓瑾,王超.针推介入游戏设计对脑瘫儿童流涎生活质量影响研究[J].中国康复,2022,37(11):656-659 |
| 针推介入游戏设计对脑瘫儿童流涎生活质量影响研究 |
| Influence of acupuncture, massage combined with game design on quality of life in cerebral palsy children with salivation |
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| DOI： |
| 中文关键词: 游戏设计 脑瘫儿童 流涎 针刺推拿 生活质量 |
| 英文关键词: game design cerebral palsy salivate acupuncture and massage quality of life |
| 基金项目:河北省中医药管理局科研计划项目（2021035）；河北省科技厅重点研发计划项目（20377786D） |
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| 中文摘要: |
| 目的：游戏设计结合针刺、推拿应用于脑瘫儿童流涎，观察脑瘫儿童流涎程度的改善情况，及其社会适应性、日常生活独立性、口唇舌活动情况的变化。方法：观察132例伴随流涎的脑瘫儿童，随机分为游戏设计组及对照组，2组各66例。对照组采用针刺推拿进行康复干预，游戏设计组（观察组）采用游戏教学设计融入针刺推拿进行康复干预。干预时间为90d。2组在治疗后评价临床疗效，分别于干预前后采用格塞尔量表中社会适应性能区得分进行智能发育评价；采用唇、舌、咀嚼动作灵活性评分进行吞咽功能评价；采用儿童功能独立检查量表（WeeFIM）进行生活独立性评价。结果：干预后，观察组的总有效率明显高于对照组（P＜0.05）。治疗后，2组格塞尔适应性评分、唇、舌、咀嚼运动评分、WeeFIM评分均高于治疗前（P＜0.05），且观察组均更高于对照组（P＜0.05）。结论：针推介入游戏设计对脑瘫儿童流涎情况具有改善作用。 |
| 英文摘要: |
| Objective: The game design combined with acupuncture and massage is applied to the salivation of children with cerebral palsy, and the improvement of salivation degree of children with cerebral palsy, as well as the changes of social adaptability, independence of daily life and activities of mouth and tongue were observed. Methods: A total of 132 children with cerebral palsy with salivation were randomly divided into game design group (n=66) and control group (n=66). The control group was given acupuncture and massage for rehabilitation intervention, and the game design group (observation group) was subjected to game teaching design combined with acupuncture and massage for rehabilitation intervention. The intervention time was 90 days. The clinical efficacy of the two groups was evaluated after treatment, and the scores of social adaptation area in Gessel scale were used to evaluate the intelligent development before and after intervention. The swallowing function was evaluated by the flexibility score of lips, tongue and chewing movements. The Functional Independence Scale (FIM) was used to evaluate the independence of life. Results: After intervention, the total effective rate in the observation group was significantly higher than that in the control group (P<0.05). After treatment, Gesell adaptability score, lip, tongue, chewing motor score and FIM score in the two groups were higher than those before treatment (P<0.05), and those in the observation group were higher than those in the control group (P<0.05). Conclusion: Acupuncture, massage in combination with game design can improve the salivation of children with cerebral palsy. |
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