用灵活内镜评估吞功能障碍在新生儿病房吞功能障碍的评估
Aaron Heston1, Anjali Patel2, Kevin Ahn2
1Division of Neonatology, Department of Child Health, Phoenix Children's Hospital, Phoenix Campus, The University of Arizona.
American journal of speech-language pathology
|January 8, 2025
概括
灵活的吞内镜评估 (FEES) 能够有效地识别早产婴儿的食和吞异常. 在FEES指导的干预措施改善了口服养,并减少了新生儿的心肺呼吸事件.
科学领域:
- 新生儿科学 新生儿科学
- 儿科胃肠病学 儿科胃肠病学
- 语音语言病理学 语音语言病理学
背景情况:
- 早产和低出生体重的婴儿经常表现出受损的吸-吞-呼吸协调,导致食困难和增加吸气风险.
- 视频光镜吞研究是标准的,但柔性内镜吞评估 (FEES) 是新生儿吞功能的新兴诊断工具.
研究的目的:
- 评估FEES在识别新生儿重症监护室 (NICU) 婴儿的功能和解剖异常,分泌物,透/吸收和残留物的实用性.
- 评估FEES对临床养决策和口服养进展的影响.
主要方法:
- 在2018-2023年期间接受FEES治疗的90名NICU婴儿进行了回顾性单中心研究.
- 分析FEES发现,包括异常,透/吸收,残留物和解剖变异.
- 在FEES后对食建议的变化和口服食进展的审查.
主要成果:
- 85.5%的婴儿显示出异常的FEES发现,其中37.7%的婴儿吸气,34.5%的婴儿显示出喉穿透.
- 39%的人有解剖学异常,包括喉病 (27.7%);10人有意想不到的异常,在4例中需要干预.
- 根据FEES指导的干预措施导致口服养增加 (45%至75%),呼吸暂停,心肌缩和脱事件减少.
结论:
- 在检测NICU婴儿的吞功能障碍,吸收和解剖学异常方面,FEES非常有效.
- 以FEES为指导的养修改显著改善了口服养的成功和临床结果.
- 通过FEES对解剖异常的早期识别和干预可以导致必要的外科转诊和改善患者管理.
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