多学科方法治疗 GERD 样症状婴儿：一种新范式。
A Multidisciplinary Approach to Infants With GERD-Like Symptoms: A New Paradigm.
机构信息
From Feinberg School of Medicine at Northwestern University, Chicago, IL.
M Street Pediatric Therapy, Oak Park, IL.
出版信息
J Pediatr Gastroenterol Nutr. 2023 Jul 1;77(1):39-46. doi: 10.1097/MPG.0000000000003802. Epub 2023 Apr 21.
OBJECTIVES
Infants with gastroesophageal reflux disease (GERD)-like symptoms have been classically defined as having a wide array of symptoms. In these instances, anti-reflux medications are ineffective and overprescribed. Rather these symptoms are more attributable to dysphagia and unsettledness/colic. To address these conditions at our center, both speech language pathologist (SLP) and/or occupational therapist (OT) have contributed to evaluation. We hypothesized that dysphagia and unsettledness/colic are highly prevalent, yet under recognized in this population.
METHODS
Full-term infants with typical development and under 6 months of age (N = 174) were included. Infants with suspected dysphagia and/or evident colic/unsettledness were evaluated by SLP and OT, respectively.
RESULTS
GERD-like symptoms were present in 109 infants with attributes of dysphagia in n = 46, unsettledness/colic in n = 37, and combined in n = 26.
CONCLUSION
A multidisciplinary approach, including SLP and OT, is recommended for the evaluation of infants with GERD-like symptoms.
目的
具有胃食管反流病（GERD）样症状的婴儿通常具有广泛的症状。在这些情况下，抗反流药物无效且过度开具。相反，这些症状更多归因于吞咽困难和不安/绞痛。为了解决我们中心的这些情况，言语语言病理学家（SLP）和/或职业治疗师（OT）都参与了评估。我们假设在该人群中，吞咽困难和不安/绞痛非常普遍，但尚未得到认识。
方法
纳入了 174 名具有典型发育且年龄在 6 个月以下的足月婴儿。疑似存在吞咽困难和/或明显绞痛/不安的婴儿分别由 SLP 和 OT 进行评估。
结果
109 名婴儿存在 GERD 样症状，其中 46 名存在吞咽困难特征，37 名存在不安/绞痛，26 名同时存在。
结论
建议采用多学科方法，包括 SLP 和 OT，对具有 GERD 样症状的婴儿进行评估。
Zotero 插件