早期出産歴のある子供の飲み込みの苦情と口腔感覚の問題に関連する危険因子
Hilal Berber Çiftci1, Özgül Akın Şenkal1, Müge Müzeyyen Çiyiltepe1
1Department of Speech and Language Therapy, Faculty of Health Sciences, Tarsus University, Mersin, Turkey.
International journal of language & communication disorders
|September 5, 2025
まとめ
未熟児 は 食事 の 問題 に 直面 する こと が 多い この研究では 口腔感覚の問題や 飲み込みの難しさが NICUでの滞在や 乳首の使用などの要因に 関連していることが分かり 早期の介入の必要性を強調しました
科学分野:
- 小児胃腸内科
- 発達に関する小児科
- 新生児科
背景:
- 早期出産は 幼児期に持続的な 食事や飲み込みの困難を 引き起こす危険因子として知られています
- 低所得国や中所得国における早産児の栄養不良の背景的危険因子に関する研究は限られている.
研究 の 目的:
- 3歳から10歳までの早産児の飲み込み障害や口腔感覚障害に関連する要因を特定する.
- この集団における口腔感覚の違いと 飲み込みの問題との相関を調査する.
主な方法:
- 158人の早産児 (3~10歳) の親を対象とした前向きな横断研究.
- 小児食事評価ツール (PEDI-EAT-10) と口腔感覚プロファイル (Oral-SP) を使った.
- 人口統計,妊娠年齢,成長,NICU滞在,食事方法,病歴に関するデータを収集した.
主要な成果:
- 早産児の27. 2%が消化不全 (飲み込み障害) のリスクがありました.
- 58. 9%が口腔感覚の違いを示した.
- 飲み込みの難しさは 年齢の低さ,妊娠年齢の低さ,体格の小ささ,NICUでの滞在の長さ,乳首の長時間使用に相関する.
結論:
- 胎児の飲み込みや口腔感覚の問題を 早期に特定することが重要です
- 新生児の介入,特にNICUでの入院は,長期にわたる栄養失調を軽減することができます.
- 口腔感覚障害の高い発生率と 飲み込みの苦情との強い関連性により,さらなる調査と標的型の介入が必要である.
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