根据视频光镜吞研究,在内镜干预关节缺陷后,消化不良症的时间表,以消化不良症的严重程度为基础
R E Wineski1, G Beltran-Ale2, R Simpson2
1Department of Otolaryngology, University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA.
International journal of pediatric otorhinolaryngology
|July 13, 2023
概括
喉裂 (LC1) 或深层耳间沟 (DIG) 的内镜修复可以改善吞,但消化不良症需要时间. 在手术后,轻度病例比中度病例更快地消失.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 吞障碍 吞障碍 吞障碍
- 外科手术的结果
背景情况:
- 第1型喉裂 (LC1) 和深肠间沟 (DIG) 是先天性呼吸道异常.
- 以前已经证明,LC1/DIG的内镜修复可以改善吞功能.
- 护理人员的担忧往往集中在消化不良症的解决时间表上,特别是对加厚液体的需求.
研究的目的:
- 重新检查一组接受LC1或DIG内镜修复的患者队列.
- 为了确定干预后完全消症解决的速度和时间表.
- 为了确定影响消化不良症解决的因素,如初始严重程度和修复类型.
主要方法:
- 对3年的单一中心数据集的回顾性分析,该数据集包括患有失症和LC1或DIG的儿科患者.
- 主要结局:在内镜干预后的2,6个月和12个月内,完全消化不全的发病率.
- 根据干预前食障碍的严重程度 (轻度与中度) 和内镜修复的类型进行分组分析.
主要成果:
- 包括39名患有LC1或DIG的患者 (平均年龄1.35岁).
- 干预后的时间随着时间的推移,完全消化不全的解决率有所增加.
- 患有轻度消化不良的患者 (需要减少流量的乳头和/或IDDSI一致性1-2) 在2个月和6个月内显示出明显更快的缓解,与中度消化不良 (IDDSI一致性3-4) (p <0.01) 患者相比.
- 根据内镜修复的类型,没有观察到缺食症解决的显著差异.
结论:
- 耳膜间缺陷的内镜修复通常不会导致立即的,完全的失症解决.
- 在患有较轻度手术前食障碍的患者中,解决需要液体加厚的需要更快.
- 这些发现有助于管理护理人员的期望,通过更清楚地了解基于初始严重程度的术后乱症解决时间表.
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