使用功能性口服摄入量表来评估接受呼吸道手术的儿童的消化不良症的严重程度和持续时间
Khalid A Alshehri1, Mohammed N Aljehani2, Hassan Alalawi3
1Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, King Abdulaziz University, King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia.
概括
儿童呼吸道手术可能会导致吞障碍 (吞困难),在声横向化后,症状持续更长时间. 早期识别高风险儿童和多学科护理对于管理营养困难至关重要.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 儿科手术 儿科手术
- 儿科胃肠病学 儿科胃肠病学
背景情况:
- 缺食症是儿童的一个重大问题,增加了吸入性肺炎的风险,无法壮成长和脱水.
- 儿童患者在呼吸道手术后特别容易受到无声吸气的影响.
- 手术后的消化不良会对孩子的生活质量产生负面影响.
研究的目的:
- 审查儿科患者手术后失调相关症状和结果的持续时间和程度.
- 评估呼吸道手术对儿童吞功能的影响.
- 在儿科呼吸道手术后识别与长期消化不良相关的因素.
主要方法:
- 对接受呼吸道手术的儿科患者 (14岁以下) 的回顾性评估.
- 评估儿童功能性口服摄入量表 (FOIS) 在术前和术后.
- 在手术后分析食障碍的持续时间和口服养能力.
主要成果:
- 手术后失调的平均持续时间为17.29天,声带横向化手术的持续时间最长 (平均:106.5天).
- 术后口服养能力下降,口服养患者的比例从64.9%降至40.5%.
- 整体FOIS分数有所改善,但患有严重食障碍 (FOIS一级) 的患者数量减少,而患有轻度食障碍 (FOIS二级) 的患者数量增加.
结论:
- 在呼吸道手术后的儿科患者中,术后的消化不良是可变的,与特定的手术,如声侧面化相关的更长的恢复时间.
- 患有先前存在的消化不良或管道依赖的儿童有更高的持续食困难的风险.
- 常规的术后吞评估和多学科团队的参与对于管理高风险患者至关重要.
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