颈总动脉周围交感神经网剥脱切除术治疗脑性瘫痪患儿的疗效

doi:10.3969/j.issn.1006-6233.2018.09.021

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Abstract Objective: To observe the changes of ptyalism, dysphagia and cognitive function in children with cerebral palsy after the exfoliation excision of the sympathetic nerve network around the common carotid artery. Methods: The clinical data of 74 children with cerebral palsy treated by different ways in our hospital from October 2015 to May 2017 were retrospectively analyzed. The 37 children who were treated by rehabilitation were taken as the control group. The sympathetic surroundings of common carotid artery Nerve net stripping resection of children treated 37 cases as the observation group. The changes of arterial hemodynamics indexes of cerebral artery, and the improvement of ptyalism, dysphagia and cognitive function in the two groups were compared. Results: After treatment, the hemodynamic indexes of the cerebral artery in the observation group were superior to those in the control group (P<0.05); the Teacher Drooling Scale (TDS) score and the water swallow test score in the observation group were lower than those in the control group (P<0.05); the score of Wechsler Preschool and Primary Scale of Intelligence (WPPSI) in the observation group was higher than that in the control group (P<0.05). Conclusion: The application of exfoliation excision of the sympathetic nerve network around the common carotid artery in the treatment of children with cerebral palsy can significantly improve ptyalism and swallowing function, and can effectively promote the recovery of cognitive function.

Key words： Cerebral palsy Exfoliation excision of the peripheral sympathetic nerve network around the common carotid artery Ptyalism Dysphagia Cognitive function

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2018.09.021 OR http://www.hbyxzzs.cn/EN/Y2018/V24/I9/1486

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