脑瘫儿童流涎：当前管理格局的叙述性综述。

文献信息

中文摘要

背景： 患有发育性或神经系统疾病（如脑瘫）的儿童表现为运动功能受损，导致吞咽、进食和流涎受损。慢性流涎的患病率从4岁以上儿童的0.5%急剧变化至神经系统疾病儿童的60%。流涎可对受影响儿童的生活质量产生严重影响，可能造成孤立感和被同伴拒绝。此外，流涎不仅给受影响儿童的照护者带来经济负担，还带来相当大的情绪困扰，这些照护者经常面临管理其子女潜在神经功能障碍的困难。在这篇叙述性综述中，我们除了广泛讨论患病率、致病因素、临床表现和对生活质量的影响外，还讨论了流涎的当前管理格局，包括康复和保守方法、药物治疗（药理学管理）以及手术治疗。

英文摘要

Children with developmental or neurological disorders, such as cerebral palsy, present with impaired motor function, resulting in impaired swallowing, feeding, and drooling. The prevalence of chronic drooling radically changes from 0.5% in children >4 years to 60% in children with neurological ailments. Drooling can have a serious impact on the quality of life of affected children, which can create a sense of isolation and refusal by peers. In addition, drooling results in not only financial but also considerable emotional turmoil for caregivers of affected children, who are frequently confronted with difficulty managing the underlying neurological impairment of their child. In this narrative review, we expansively address, in addition to prevalence, causative factors, clinical manifestations, and impacts on quality of life, the current management landscape of drooling, which includes rehabilitation and conservative approaches, medical therapy (pharmacological management), and surgical management.