目的 探讨口面肌功能治疗(OMT)对Pierre-Robin序列征(PRS)术后患儿吞咽功能及言语语言障碍的影响。 方法 采用随机数字表法将52例PRS术后(经下颌骨牵引成骨术治疗)吞咽障碍患儿分为观察组及对照组，每组26例。对照组患儿术后给予常规营养支持，观察组在此基础上给予OMT治疗。于干预前、干预6个月后比较2组患儿吞咽障碍程度、营养风险筛查结果、营养相关实验室指标及体质量指数等差异，并通过随访对比2组患儿3岁时其口面肌功能水平及言语语言障碍发生率。 结果 干预6个月后发现观察组患儿藤岛一郎吞咽障碍评分[(8.12±1.30)分]较治疗前及同期对照组均显著提高，营养风险筛查结果、营养相关指标等均较对照组明显改善，随访至3岁时发现观察组患儿口面肌功能分级水平[(70.40±6.34)分]明显优于对照组[(61.8±7.31)分]，言语语言障碍(构音障碍/语言发育迟缓)发生率(52.0%)较对照组(68.0%)显著降低，组间差异均具有统计学意义(P<0.05)。 结论 OMT治疗能显著改善PRS术后患儿吞咽功能及营养状况，促进患儿身体发育，同时还能降低其言语语言障碍发生率，该疗法值得临床推广、应用。 Objective To explore any effect of orofacial myofunction therapy (OMT) on the swallowing and speech of children with Pierre-Robin malformation (PRS) after a corrective operation. Methods Fifty-two children with dysphagia caused by PRS mandibular distraction osteogenesis were randomly divided into an observation group and a control group, each of 26. All were given routine nutrition support, but the observation group was additionally provided with OMT. Swallowing disorders, nutritional risk and body mass index were compared between the two groups after 6 months of the intervention. Orofacial muscle functioning and speech and language disorders were also compared between the two groups at the age of 3. Results After the 6-month intervention the average Ichiro Fujishima dysphagia score in the observation group had improved significantly compared with before treatment and with the control group. The observation group′s nutritional status was also significantly better. At age three the orofacial myofunction classification of the observation group remained significantly better, on average, than that in the control group, and dysarthria or language retardation was significantly less prevalent. Conclusion OMT can significantly improve the swallowing function, speech and nutritional status of children after surgery to correct PRS. This therapy is worthy of promotion and clinical application.
Orofacial myofunction therapy improves the swallowing and language use of children with Pierre-Robin malformation
Objective To explore any effect of orofacial myofunction therapy (OMT) on the swallowing and speech of children with Pierre-Robin malformation (PRS) after a corrective operation. Methods Fifty-two children with dysphagia caused by PRS mandibular distraction osteogenesis were randomly divided into an observation group and a control group, each of 26. All were given routine nutrition support, but the observation group was additionally provided with OMT. Swallowing disorders, nutritional risk and body mass index were compared between the two groups after 6 months of the intervention. Orofacial muscle functioning and speech and language disorders were also compared between the two groups at the age of 3. Results After the 6-month intervention the average Ichiro Fujishima dysphagia score in the observation group had improved significantly compared with before treatment and with the control group. The observation group′s nutritional status was also significantly better. At age three the orofacial myofunction classification of the observation group remained significantly better, on average, than that in the control group, and dysarthria or language retardation was significantly less prevalent. Conclusion OMT can significantly improve the swallowing function, speech and nutritional status of children after surgery to correct PRS. This therapy is worthy of promotion and clinical application.
Orofacial myofunction treatmentPierre-Robin sequenceSwallowing disordersNutritional statusSpeech and language disorders
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