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在患有缺氧缺血性脑病变的新生儿中,食和吞的描述

Samantha Branfield¹, Natasha R Rhoda, Janine Joemat

¹Division of Communication Sciences and Disorders, Faculty of Health Sciences, University of Cape Town, Cape Town. sam.branfield@alumni.uct.ac.za.

The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings

|December 17, 2025

概括

患有缺氧性缺血性脑病变 (HIE) 的新生儿经常出现食和吞问题,影响口服食的准备和持续时间. 对这些婴儿来说,早期识别和管理至关重要.

科学领域:

新生儿护理新生儿护理
儿科神经学儿科神经学
临床听力学和语言病理学.

背景情况:

产后并发症,包括导致缺氧缺氧性缺血性脑病变 (HIE) 的缺氧,是南非新生儿死亡的主要原因.
HIE可能会导致严重的障碍,如消化障碍,影响婴儿发育.
食和吞困难是HIE的常见,但尚未研究的后果.

研究的目的:

描述诊断为HIE的新生儿的食和吞能力.
为了确定影响这个脆弱群体养结果的因素.
为 HIE 管理提供临床实践和未来研究的信息.

主要方法:

一项描述性,探索性,纵向性研究,涉及52名新生儿,HIE严重程度各不相同.
使用新生儿养评估尺度对潜在的参与者 (n=13).
对39名参与者进行了回顾性医疗记录审查,分析了食和吞数据.

主要成果:

观察到口服养准备时间的中位数为4天,完全口服养时间为5天.
食和吞困难在所有HIE严重程度中普遍存在,主要是在口服阶段.
没有接受低温治疗的严重脑电图异常的新生儿的养时间显着更长.

结论:

患有HIE的新生儿,无论严重程度如何,都会出现食和吞挑战的风险增加.
早期发现,及时干预和长期跟踪对患有HIE的婴儿至关重要.
这项研究强调了需要专门的养支持,并为HIE相关养问题的有限证据基础做出了贡献.

关键词:

失足症是一种失足症.养养养养缺氧性缺血性脑病变 (hypoxic ischemic encephalopathy) 是一种缺氧性缺血性脑病变.产妇内部的低氧.低收入和中等收入国家.这是新生儿新生儿.耳鼻喉功能障碍症是什么意思吞下吞下吞下吞下吞下吞下吞下

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