胃食管反流样症状婴儿的口咽性吞咽困难发生率。
The incidence of oropharyngeal dysphagia in infants with GERD-like symptoms.
机构信息
Feinberg School of Medicine at Northwestern University, Chicago, Illinois 60611, USA.
出版信息
JPEN J Parenter Enteral Nutr. 2013 Sep;37(5):667-73. doi: 10.1177/0148607112460683. Epub 2012 Sep 18.
BACKGROUND
Symptoms of infantile gastroesophageal reflux disease (GERD) may overlap with oropharyngeal dysphagia, but the evaluation and treatment of these conditions vary greatly. In this investigation, the incidence of oropharyngeal dysphagia in infants with GERD-like symptoms is determined.
MATERIALS AND METHODS
A retrospective chart review was performed on infants referred to a pediatric gastroenterology clinic for GERD-like symptoms. A feeding screen was performed in all infants. Standardized bedside swallow evaluation and modified barium swallow (MBS) studies were then performed when clinically indicated. A similarly aged cohort of normal participants also underwent a standard bedside swallow evaluation for group comparison.
RESULTS
Study population included 67 infants. A swallow evaluation was recommended in 39 of 67 infants with abnormalities noted in all. Swallowing abnormalities were more frequent and clustered in infants with GERD-like symptoms vs controls. MBS was abnormal in 16 of 17 qualifying infants. Characteristics of at-risk infants included extreme prematurity, developmental delay, or symptoms refractory to antireflux medications.
CONCLUSION
Oropharyngeal dysphagia is prominent in infants with GERD-like symptoms.
背景
婴儿胃食管反流病（GERD）的症状可能与口咽吞咽困难重叠，但这两种病症的评估和治疗方法有很大的不同。在这项研究中，确定了具有 GERD 样症状的婴儿中口咽吞咽困难的发生率。
材料和方法
对因 GERD 样症状而转至儿科胃肠病学诊所的婴儿进行了回顾性图表审查。所有婴儿均进行了喂养筛查。当临床上有指征时，进行标准化床边吞咽评估和改良钡吞咽（MBS）研究。一组年龄相似的正常参与者也进行了标准的床边吞咽评估，以进行组间比较。
结果
研究人群包括 67 名婴儿。在 67 名婴儿中，有 39 名婴儿因异常而建议进行吞咽评估。与对照组相比，具有 GERD 样症状的婴儿中吞咽异常更为频繁且集中。有资格进行 MBS 的 17 名婴儿中有 16 名异常。有风险的婴儿的特征包括极早产、发育迟缓或对反流药物有抗药性的症状。
结论
具有 GERD 样症状的婴儿中口咽吞咽困难很突出。
Zotero 插件