摄食细节管理在脑瘫吞咽障碍患儿进食安全中的应用研究

中华养生保健 ›› 2025, Vol. 43 ›› Issue (5): 119-122.

摄食细节管理在脑瘫吞咽障碍患儿进食安全中的应用研究

陈国伟, 汤婷婷, 葛亚淑, 周珊珊

东南大学附属中大医院儿科,江苏南京,210009

出版日期:2025-03-01 发布日期:2025-03-17
作者简介:陈国伟（1982—）,女,汉族,籍贯：江苏省淮安市,本科,副主任护师,研究方向：儿童康复、早产儿及重症患儿护理。
基金资助:
东南大学附属中大医院护理一般项目（KJZC-HL-202216）

Application of Feeding Detail Management in Eating Safety in Children With Cerebral Palsy

CHEN Guo-wei, TANG Ting-ting, GE Ya-shu, ZHOU Shan-shan

Department of Pediatrics, Zhongda Hospital, Southeast University, Nanjing Jiangsu 210009, China

Online:2025-03-01 Published:2025-03-17

摘要/Abstract

摘要： 目的探讨摄食细节管理在脑瘫吞咽障碍患儿进食安全中的应用效果。方法选取2022年4月—2024年3月东南大学附属中大医院儿童康复科收治的56例脑瘫吞咽障碍患儿作为研究对象,采用随机抽样法将所有患儿分为对照组和观察组,每组28例。对照组实施常规进食护理与口腔感觉运动训练,观察组在此基础上实施摄食细节管理,比较两组干预前、干预满6个月后进食不安全事件发生率、进食能力及营养状况。结果观察组进食不安全事件发生率低于对照组,差异有统计学意义（P<0.05）。观察组进食能力改善优于对照组,差异有统计学意义（P<0.05）。观察组在身体质量指数、肱三头肌皮下脂肪厚度的差值均高于对照组,差异有统计学意义（P<0.05）。结论摄食细节管理可辅助改善脑瘫吞咽障碍患儿进食安全,提高其进食能力,改善营养状况。

关键词: 脑瘫患儿, 吞咽功能障碍, 摄食细节管理, 进食安全

Abstract: Objective To investigate the effect of feeding detail management in the eating safety of children with cerebral palsy and dysphagia. Methods A total of 56 Children with cerebral palsy with dysphagia in the Department of Pediatric Rehabilitation, Zhongda Hospital, Southeast University from April 2022—March 2024 were randomly sampled and divided into control group and observation group. There were 28 cases in each group, the control group was given routine feeding care and oral sensorimotor training, and the observation group was given feeding detail management, and the incidence of unsafe eating events, feeding ability and nutritional status were compared between the two groups before the intervention and after 6 months of intervention. Results The incidence of unsafe eating events in the observation group was lower than that in the control group, statistically significant(P<0.05). And the improvement in feeding ability was higher than that in the control group, statistically significant(P<0.05). The difference in body mass index and triceps subcutaneous fat thickness in the observation group was higher than that in the control group, statistically significant(P<0.05). Conclusion Feeding detail management can help improve the eating safety, feeding ability and nutritional status of children with cerebral palsy dysphagia.

Key words: children with cerebral palsy, swallowing dysfunction, feeding detail management, food safety

中图分类号:

R473.74

陈国伟, 汤婷婷, 葛亚淑, 周珊珊. 摄食细节管理在脑瘫吞咽障碍患儿进食安全中的应用研究[J]. 中华养生保健, 2025, 43(5): 119-122.

CHEN Guo-wei, TANG Ting-ting, GE Ya-shu, ZHOU Shan-shan. Application of Feeding Detail Management in Eating Safety in Children With Cerebral Palsy[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(5): 119-122.

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