吸气婴儿的母乳养可能会增加肺炎的风险
Daniel R Duncan1, Clare Golden1, Kara Larson1
1Aerodigestive Center, Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, Massachusetts, USA.
继续母乳养的患有口腔喉缩症的母乳养婴儿面临更高的肺炎和住院住院的风险. 管理策略对这些脆弱的婴儿的肺部结果产生影响.
科学领域:
- 儿科 儿科 儿科
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
背景情况:
- 口腔喉乱是影响婴儿吞的疾病.
- 哺乳对于婴儿的营养至关重要,但可能会因消化不良而复杂化.
- 对于母乳养婴儿的消症的管理策略需要仔细考虑肺部风险.
研究的目的:
- 评估不同管理策略对被诊断患有口腔喉功能障碍的母乳养婴儿肺部结果的影响.
- 评估视频光学吞研究 (VFSS) 建议与随后的呼吸系统健康之间的关系.
主要方法:
- 一项追溯的队列研究对76名患有口腔喉乱的母乳养婴儿进行了研究.
- 婴儿接受了VFSS,以评估吸入或喉穿透.
- 医疗记录审查了VFSS结果,建议,胸部X射线,支气管支气管洗 (BAL) 发现和住院治疗.
主要成果:
- 50%的婴儿有吸气,50%的婴儿有喉穿透.
- 70%的婴儿得到了继续母乳养的许可,而30%的婴儿没有.
- 清除母乳养的婴儿经历了更多的肺部住院和BAL炎症的迹象 (中性粒细胞升高,阳性培养).
结论:
- 尽管有建议,但在患有口腔喉功能障碍的婴儿中继续母乳养与BAL炎症和肺部住院的风险增加有关.
- 关于停止或继续母乳养的管理决策显著影响这些婴儿的呼吸系统健康结果.
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