经口喂养与肠内喂养的脑瘫患儿的口腔健康状况
Oral health status in pediatric patients with cerebral palsy fed by oral versus enteral route.
作者信息
Cardona-Soria Sandra, Cahuana-Cárdenas Abel, Rivera-Baró Alejandro, Miranda-Rius Jaume, Martín de Carpi Javier, Brunet-Llobet Lluís
机构信息
Department of Pediatric Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain.
Hospital Dentistry, Clinical Orthodontics and Periodontal Medicine Research Group (HDECORPEMrg), Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, Spain.
出版信息
Spec Care Dentist. 2020 Jan;40(1):35-40. doi: 10.1111/scd.12429. Epub 2019 Nov 7.
AIMS
Cerebral palsy (CP) is a chronic, nonprogressive disorder affecting movement, posture, and tone, caused by injuries in the central nervous system during the early stages of life. Patients with CP have swallowing disorders, which make oral feeding difficult and necessitate the use of external feeding devices. The objective of this research was to study the oral health status of pediatric patients affected with CP fed by either oral or enteral route.
METHODS
A cross-sectional observational clinical study of the oral health of two groups of patients with CP, fed either orally or enterally (via percutaneous endoscopic gastrostomy, PEG).
RESULTS
Patients fed by enteral route via PEG presented lower caries scores (DMFT: PEG: 1.09, non-PEG: 2.81) and higher percentages of supragingival dental calculus than the oral feeding group (PEG: 86%, non-PEG: 57.6%).
CONCLUSION
Oral health status differed in pediatric patients with CP fed enterally via PEG and those fed orally. Specific preventive measures in both groups will be required to minimize the risk of complications.
目的
脑瘫（CP）是一种慢性、非进行性疾病，会影响运动、姿势和肌张力，由生命早期中枢神经系统损伤引起。脑瘫患者存在吞咽障碍，这使得经口喂养困难，因此需要使用外部喂养装置。本研究的目的是研究经口或肠内喂养的脑瘫患儿的口腔健康状况。
方法
对两组分别经口喂养和肠内喂养（通过经皮内镜下胃造口术，PEG）的脑瘫患者的口腔健康进行横断面观察性临床研究。
结果
通过PEG进行肠内喂养的患者龋齿评分较低（DMFT：PEG组为1.09，非PEG组为2.81），且龈上牙石百分比高于经口喂养组（PEG组为86%，非PEG组为57.6%）。
结论
经PEG进行肠内喂养的脑瘫患儿与经口喂养的患儿口腔健康状况不同。两组都需要采取特定的预防措施，以将并发症风险降至最低。
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