心脏手术后单侧声不运动的婴儿的食干预:回顾性审查研究
Allison Freccero1, Sandra Rizzuto2, April Johnson2
1Department of Rehabilitation Services, Lucile Packard Children's Hospital, Stanford Medicine Children's Health, 725 Welch Road, Palo Alto, CA, 94304, USA. afreccero@stanfordchildrens.org.
Pediatric cardiology
|July 3, 2025
概括
对先天性心脏缺陷和单侧声不运动 (UVFI) 的婴儿进行了比较. 在没有注射喉膜整形 (IL) 的婴儿中,加厚的液体更有效,而在IL的婴儿中,乳头流动较慢更好.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 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:
- 患有先天性心脏缺陷 (CHD) 的婴儿面临由于单侧声不运动 (UVFI) 的术后失足症的高风险.
- 目前的食干预措施缺乏针对这一脆弱群体的标准化.
- 单侧声不运动 (UVFI) 可以显著损害婴儿的吞功能.
研究的目的:
- 为了比较加厚液体与较慢流速乳头在消除术后UVFI的婴儿吸收的有效性.
- 分析患有UVFI的婴儿的食干预疗效,根据他们是否接受了注射喉膜整形 (IL) 进行分层.
主要方法:
- 2017-2022年视频光镜吞研究 (VFSS) 的回顾性图表审查.
- 参与者被分为两组:接受注射喉膜整形 (IL) 治疗的人和没有IL的人.
- 食干预措施的有效性 (加厚液体与缓慢流动的乳头) 被记录并使用描述性统计数据和费舍尔的精确测试来分析.
主要成果:
- 在没有IL的婴儿中,加厚的液体比缓慢流动的乳头 (60%) 更经常 (72%) 降低吸入力,尽管在统计学上并不显著 (p=0.68).
- 对于患有IL的婴儿,缓慢流动的乳头比加厚液体 (67%) 更有效地降低了吸入率 (92%),也没有统计学意义 (p=0.22).
- 总共分析了27名参与者的33个VFSS (平均年龄为12周).
结论:
- 虽然不具有统计学意义,但研究结果表明,根据IL状态,不同的食干预措施可能是UVFI婴儿的最佳选择.
- 较慢的流动乳头可能对经过IL的UVFI的婴儿更有效.
- 加厚的液体可能对未接受过IL的UVFI的婴儿更有益.
- 这些结果为营养干预提供了临床相关的指导,以减少UVFI的婴儿中与吸入相关的发病率.
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