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目的探讨双侧颈动脉鞘交感神经剥脱术结合迷走神经孤立术治疗脑性瘫痪儿童流涎症的效果。方法选取2008年3月—2013年4月收治的脑性瘫痪流涎首儿童73例,随机分为A组34例和B组39例,A组采用显微手术行双侧颈动脉鞘交感神经剥脱术结合迷走神经孤立术治疗,B组采用口腔功能训练治疗。随访6周后,对比分析两种治疗方法对脑性瘫痪儿童流涎症的疗效。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果 A组流涎程度有效率64.7%高于B组的48.7%,两组比较差异有统计学意义(P<0.05)。A组流涎频率有效率70.6%高于对照组的56.4%,两组比较差异有统计学意义(P<0.05)。A组起效时间为(8.00±3.18)d,B组为(24.00±7.06)d,两组比较差异有统计学意义(P<0.05)。结论显微镜下双侧颈总动脉外周交感神经剥脱术结合迷走神经孤立术治疗脑性瘫痪儿童流涎症效果较好,起效时间短,有较高的临床应用价值。
Objective To investigate the effect of bilateral carotid sheath sympathectomy combined with vagotomy on children with salvaged palsy. Methods Seventy-three children with cerebral palsy salivary gastrectomy admitted from March 2008 to April 2013 were randomly divided into group A (n = 34) and group B (n = 39). Group A was treated with bilateral carotid sheath sympathetic nerve exfoliation In combination with vagotomy, group B received oral functional training. After 6 weeks’ follow-up, the curative effects of the two treatment methods on children with salvage of cerebral palsy were compared. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The effective rate of salivation in group A was 64.7%, which was significantly higher than that in group B (48.7%). There was significant difference between the two groups (P <0.05). The effective rate of salivation frequency in group A was 70.6% higher than that in control group (56.4%). There was significant difference between the two groups (P <0.05). The onset time of A group was (8.00 ± 3.18) d, and that of B group was (24.00 ± 7.06) d. The difference between the two groups was statistically significant (P <0.05). Conclusions The bilateral common carotid artery sympathetic nerve stripping under the microscope combined with vagotomy solitary cerebral palsy in children with cerebral palsy effect is better, the onset time is short, has a high clinical value.