声和吞功能障碍与儿科患者体外膜氧化有关
Ezer H Benaim1, Elizabeth N Ritter1, Kelly D Kamp2
1Department of Otolaryngology - Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Journal of pediatric surgery
|May 12, 2025
概括
声运动障碍 (VFMI) 和吞功能障碍在宫外体膜氧化 (ECMO) 后的儿科患者中很常见. 早期查对于这些高风险儿童的及时干预至关重要.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
背景情况:
- 宫外体膜氧化 (ECMO) 是对重症新生儿和儿童的一种拯救生命的干预.
- 潜在的并发症包括声运动障碍 (VFMI) 和吞功能障碍,影响长期的结果.
- 关于儿童宫ECMO后这些功能障碍的发生率和相互作用的数据有限.
研究的目的:
- 为了确定VFMI和吞功能障碍的发病率在接受宫ECMO的儿科患者中.
- 调查查在识别这些并发症中的作用.
- 突出声声和吞问题的临床意义在这个人群中.
主要方法:
- 对经过宫ECMO的儿科患者 (2012-2019) 的回顾性队列分析.
- 数据收集包括患者人口统计,ECMO细节,输管时间和食干预措施.
- 语音,吞和气道的评价都被审查了.
主要成果:
- 包括77名儿科患者;23%患有VFMI,26%患有吞功能障碍.
- 15.6%的人经历了VFMI和吞功能障碍.
- 管时体重较低与VFMI有关;尽管存在担忧,但查使用不足.
结论:
- VFMI和吞功能障碍是儿科宫ECMO幸存者的普遍并发症.
- 这项研究强调了显著的风险,可能低估了真正的发病率.
- 需要进行前性评估,以便及时识别和干预.
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