Great Ormond Street Hospital for Children NHS Foundation Trust.
Department of Psychology and Language Sciences, University College London, London.
Curr Opin Otolaryngol Head Neck Surg. 2021 Jun 1;29(3):194-199. doi: 10.1097/MOO.0000000000000707.
Use of thickened fluids has long been a cornerstone of dysphagia management. However, clinicians and researchers are increasingly questioning their effectiveness and highlighting potential harms. This review aims to present the current state of the evidence for use of thickened fluids in children.
The relationship between aspiration and respiratory infection is complex. The role of thickened fluids in improving respiratory health is limited and contradictory. A high level of variability exists in all aspects of thickened fluid use. Little is known about patient and family perspectives on meaningful endpoints for intervention.
Clinicians should be open and transparent in their decision making with patients and families, acknowledging the limited evidence and the need for individualised care. Further research is needed to establish the efficacy of thickened fluid use in children with regard to improvements in respiratory health, fluid intake and child and family wellbeing.
浓稠的液体一直以来都是吞咽障碍管理的基石。然而，临床医生和研究人员越来越质疑它们的有效性，并强调了潜在的危害。本综述旨在介绍目前在儿童中使用浓稠液体的证据状况。
误吸和呼吸道感染之间的关系很复杂。浓稠液体在改善呼吸健康方面的作用有限且存在矛盾。浓稠液体使用的各个方面都存在高度的可变性。对于干预的有意义的终点，患者和家属的观点鲜为人知。
临床医生应该在与患者和家属的决策中保持开放和透明，承认有限的证据和个性化护理的必要性。需要进一步的研究来确定浓稠液体在改善儿童呼吸健康、液体摄入以及儿童和家庭福祉方面的使用效果。
