Clinical practice: swallowing problems in cerebral palsy.
Clinical practice: swallowing problems in cerebral palsy.
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DOI：
10.1007/s00431-011-1570-y
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发表时间：
2012-03
影响因子：
3.6
通讯作者：
Jongerius, Peter H.
中科院分区：
文献类型：
--
作者：
Erasmus, Corrie E.;van Hulst, Karen;Rotteveel, Jan J.;Willemsen, Michel A. A. P.;Jongerius, Peter H.
关键词：
脑瘫是儿童早期最常见的身体残疾。CP的全球流行率约为每1，000例活产2-2.5例。它在临床上被定义为一组继发于发育中大脑的非进行性缺陷或病变的运动、认知和感知障碍。患有CP的儿童可能有吞咽问题，严重的流口水是后果之一。营养不良和反复吸入性肺炎可增加发病率和死亡率。应及早注意吞咽困难和过度流口水及其对CP儿童及其家庭负担的重大影响。本文综述了相关文献和专家意见的基础上，CP儿童吞咽问题的重要功能和解剖学问题。此外，根据我们的经验，我们描述了一个计划的方法调查和治疗吞咽问题的脑性瘫痪。
Cerebral palsy (CP) is the most common physical disability in early childhood. The worldwide prevalence of CP is approximately 2–2.5 per 1,000 live births. It has been clinically defined as a group of motor, cognitive, and perceptive impairments secondary to a non-progressive defect or lesion of the developing brain. Children with CP can have swallowing problems with severe drooling as one of the consequences. Malnutrition and recurrent aspiration pneumonia can increase the risk of morbidity and mortality. Early attention should be given to dysphagia and excessive drooling and their substantial contribution to the burden of a child with CP and his/her family. This review displays the important functional and anatomical issues related to swallowing problems in children with CP based on relevant literature and expert opinion. Furthermore, based on our experience, we describe a plan for approach of investigation and treatment of swallowing problems in cerebral palsy.
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