关键词:

病毒性脑炎, 吞咽功能障碍, 感觉刺激, 摄食训练, 生活质量

Abstract:

ObjectiveTo investigate the effects of multiple sensory stimulation on swallowing function and quality of life in children with viral encephalitis and dysphagia.MethodsA total of 109 children with viral encephalitis with dysphagia admitted to our department from July 2018 to September 2020 were selected as the research subjects, and they were randomly divided into observation group(n=55) and control group(n=54). The control group was given routine nursing and direct feeding training, and the observation group was given cold stimulation, manual mechanical stimulation, active and passive training and other sensory stimulation in addition to those given tothe control group. After 20 days, the improvement in swallowing disorders, swallowing function and quality of life in the two groups before and after intervention were observed.ResultsThe total effective rate of improvement in swallowing function in the observation group was 94.55%(52/55), which was higher than that in the control group(79.63%，43/54), and the difference was statistically significant(P<0.05). The scores of SSA and DDS in the observation group were lower than those in the control group, and the scores of the common applicable core scale for children's quality of life were higher than those in the control group, there being statistical significance(P<0.05).ConclusionMultiple sensory stimulation has a definite therapeutic effect on children with viral encephalitis and dysphagia, which can improve dysphagia, enhance swallowing function and improve quality of life by stimulating sensory nerve fibers, improving pharyngeal reflex ability,and relieving muscle tension and other mechanisms.

Key words:

Viral encephalitis, Dysphagia, Sensory stimulation, Feeding training, Quality of life