CAJ | 학술논문

目的：通过探讨脑瘫吞咽障碍不同康复方案的疗效,找出合理的康复方案及评估康复效果的最佳时间点。方法150例脑瘫合并吞咽障碍的患儿随机分为A、B、C三组,于治疗前、治疗后3、6、12、18、24个月分别用量表1、量表4及量表7进行评分,并进行重复测量方差分析。结果①组内不同时间点评分比较：C组最先出现统计学差异,各组的评分均从6个月始分别与治疗前两两比较差异有统计学意义(P<0.01)；②组间不同时间点评分的两两比较：A组与B组：量表1及量表4,24个月时差异有统计学意义(P<0.05)；A组与C组3个量表差异均无统计学意义(P>0.05)；B组与C组：量表1,18个月始；量表4,12个月始和量表7,6个月始差异均有统计学意义(P<0.05)。结论间接策略+直接策略是脑瘫吞咽障碍比较经济有效的治疗方案。康复治疗6个月是评估疗效的最佳时间点。
목적：통과탐토뇌탄탄인장애불동강복방안적료효,조출합리적강복방안급평고강복효과적최가시간점。방법150례뇌탄합병탄인장애적환인수궤분위A、B、C삼조,우치료전、치료후3、6、12、18、24개월분별용량표1、량표4급량표7진행평분,병진행중복측량방차분석。결과①조내불동시간점평분비교：C조최선출현통계학차이,각조적평분균종6개월시분별여치료전량량비교차이유통계학의의(P<0.01)；②조간불동시간점평분적량량비교：A조여B조：량표1급량표4,24개월시차이유통계학의의(P<0.05)；A조여C조3개량표차이균무통계학의의(P>0.05)；B조여C조：량표1,18개월시；량표4,12개월시화량표7,6개월시차이균유통계학의의(P<0.05)。결론간접책략+직접책략시뇌탄탄인장애비교경제유효적치료방안。강복치료6개월시평고료효적최가시간점。
To discuss curative effect of different cerebral palsy dysphagia rehabilitation programs to find reasonable rehabilitation programs and the best time to assess the effect of rehabilitation. MethodsDivided 150 cases of cerebral palsy patients with dysphagia were randomly into group A , group B, group C. Before treatment, after 3-month, 6-month, 12-month,18-month and 24-month treatment, scale 1, scale 4 and scale 7 were respectively used to score, and repeated measures analysis of variance.Results①Score comparison in groups at different time,group C first appeared significant differences, Score comparison in all groups have highly significant difference between before treatment and 6 months after treatment(P<0.01). ②Pairwise comparison between groups at different time points: between group A and group B, there was significant difference in scale 1 and scale 4 scores after 24 months after treatment(P<0.05), there was no significant difference between group A and group C. Between group B and group C: there was significant difference in scale 1 scores form 18th months after treatment, in scale 4 scores from the 12th month after treatment and in scale 7 scores from the 6th months after treatment (P<0.05).ConclusionIndirect strategy+direct strategy are economic and effective method forcerebral palsy dysphagia rehabilitation, 6-month treatment is the best time to assess effect of rehabilitation.