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目的探讨吞咽功能治疗仪在手足口病恢复期康复治疗中的作用。方法 66例手足口病伴有吞咽功能障碍的患儿,采用抽签法将患儿分为观察组和对照组,每组33例。对照组采用常规康复治疗,观察组在对照组基础上加用吞咽功能治疗仪进行治疗,比较两组患儿治疗前后的洼田饮水试验评分变化和临床疗效。结果两组治疗前洼田饮水试验评分比较差异无统计学意义(P>0.05);治疗后,观察组的洼田饮水试验评分明显低于对照组(P<0.05)。观察组总有效率为87.9%,高于对照组的63.6%,差异有统计学意义(P<0.05)。结论吞咽功能治疗仪配合常规的康复治疗可有效改善手足口病合并吞咽功能障碍患儿的吞咽功能,且操作简单、费用低廉,无毒副作用,值得临床推广应用。
Objective To explore the role of swallowing functional therapeutic apparatus in the rehabilitation of hand-foot-mouth disease during convalescence. Methods Sixty-six children with hand-foot-mouth disease who had swallowing dysfunction were divided into observation group and control group by lottery, with 33 cases in each group. The control group was treated with routine rehabilitation. The observation group was treated with the swallowing functional therapeutic apparatus on the basis of the control group. The changes of the Kubota drinking water test scores and the clinical curative effect before and after treatment were compared between the two groups. Results Before treatment, there was no significant difference between the two groups in drinking water test scores (P> 0.05). After treatment, the score of Kubota drinking water test group was significantly lower than that of the control group (P <0.05). The total effective rate in observation group was 87.9%, which was higher than that in control group (63.6%), the difference was statistically significant (P <0.05). Conclusion The swallowing functional therapeutic apparatus combined with routine rehabilitation therapy can effectively improve the swallowing function of hand, foot and mouth disease patients with swallowing dysfunction. The swallowing function therapeutic apparatus has the advantages of simple operation, low cost, no toxic and side effects, and is worthy of clinical application.