先天性心脏病患儿吞咽功能的评估
Evaluation of swallowing in infants with congenital heart defect.
作者信息
Pereira Karine da Rosa, Firpo Cora, Gasparin Marisa, Teixeira Adriane Ribeiro, Dornelles Silvia, Bacaltchuk Tzvi, Levy Deborah Salle
机构信息
Department of Speech Pathology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Department of Paediatric Cardiology, Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
出版信息
Int Arch Otorhinolaryngol. 2015 Jan;19(1):55-60. doi: 10.1055/s-0034-1384687. Epub 2014 Nov 5.
Introduction Surgical repair of congenital heart disease in the first years of life compromises the coordination of the suction, breathing, and swallowing functions. Objective To describe the alterations in swallowing found in infants with congenital heart defect during their hospitalization. Methods Prospective, cross-sectional study in a reference hospital for heart disease. The sample consisted of 19 postsurgical patients who underwent an evaluation of swallowing. The infants included were younger than 7 months and had a diagnosis of congenital heart defect and suspected swallowing difficulties. Results Of the 19 infants with congenital heart defect, the median age was 3.2 months. A significant association was found between suction rhythm and dysphagia (p = 0.036) and between oral-motor oral feeding readiness and dysphagia (p = 0.014). Conclusions The data suggest that dysphagia often occurs after surgery in infants with congenital heart defect. Infants with congenital heart defect had very similar behavior to preterm infants in terms of oral feeding readiness.
引言
生命最初几年进行的先天性心脏病手术修复会影响吸吮、呼吸和吞咽功能的协调性。目的：描述先天性心脏缺陷婴儿在住院期间发现的吞咽改变。方法：在一家心脏病专科医院进行前瞻性横断面研究。样本包括19名接受吞咽评估的术后患者。纳入的婴儿年龄小于7个月，诊断为先天性心脏缺陷且怀疑有吞咽困难。结果：19名先天性心脏缺陷婴儿的中位年龄为3.2个月。发现吸吮节律与吞咽困难之间存在显著关联（p = 0.036），以及口腔运动性经口喂养准备状态与吞咽困难之间存在显著关联（p = 0.014）。结论：数据表明先天性心脏缺陷婴儿术后常发生吞咽困难。先天性心脏缺陷婴儿在经口喂养准备状态方面与早产儿的行为非常相似。
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