横卧姿势与改善的吞结果有关,当与半直立姿势相比,在患有缺食症的婴儿中
Robert Brinton Fujiki1,2, Abigail Nimtz1, Susan L Thibeault1
1Department of Surgery, University of Wisconsin-Madison.
American journal of speech-language pathology
|April 21, 2025
概括
与半直立姿势相比,横卧姿势在患有消化障碍的婴儿的吞研究中显著减少了透和吸入. 这一发现表明,在接受视频光学吞研究 (VFSS) 的婴儿中,改善了呼吸道保护.
科学领域:
- 儿科医学 儿科医学 儿科医学
- 吞障碍 吞障碍 吞障碍
- 诊断成像诊断成像的使用
背景情况:
- 患有消化不良的婴儿经常在吞时遇到困难.
- 视频光镜吞研究 (VFSS) 是用于评估儿科失足症的常见诊断工具.
- 在VFSS期间的标准定位可能并不总是优化吞安全.
研究的目的:
- 调查横卧与半直立姿势对患有食障碍的婴儿VFSS结果的影响.
- 为了确定横卧的位置是否可以改善呼吸道保护和吞效率.
主要方法:
- 使用了横截面,主题内设计.
- 21名患有口腔喉功能障碍的婴儿在半直立和横卧两种位置使用薄液体进行了VFSS.
- 透/吸入的严重程度和频率以及喉吞的及时性由专门的语音语言病理学家评估.
主要成果:
- 与半直立姿势相比,横卧姿势与透/吸入的严重程度和频率显著下降有关 (p < .001).
- 侧卧姿势的婴儿有91%的更严重透-吸收评级 (PAS) 的几率较低.
- 在横卧姿势下,腹状鼻的吞开始显著减少 (p < .001).
结论:
- 横卧姿势在VFSS期间增强了呼吸道保护,用于患有失消的婴儿.
- 这种位置导致不那么严重和不那么频繁的透/吸收.
- 需要进一步的研究来确定最佳益处的预测因素和潜在的生理机制.
相关概念视频
Anatomical Positions
9.3K
In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
9.3K
Upper GI Series: Barium Swallow
89
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
89
Enteral Nutrition I: Orogastric and Nasogastric Feeding
157
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
157
Esophageal Strictures-II: Clinical Features and Management
27
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
27
Endotracheal Intubation I: Procedure
504
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
504
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
51
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
51


