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唐氏综合征患儿吞咽困难管理后的呼吸健康结局:一项服务评估

Respiratory health outcomes of children with Down Syndrome following dysphagia management: a service evaluation.

作者信息

de Silva Himali, Shah Neekita, Mathura Narad, Smith Christina

机构信息

Evelina London Children's Community Speech and Language Therapy, Guy's and St Thomas' NHS Foundation Trust, London, UK

Brent Children's Specialist Services, Central London Community Healthcare NHS Trust, London, UK.

出版信息

BMJ Paediatr Open. 2024 Dec 16;8(1):e002982. doi: 10.1136/bmjpo-2024-002982.

DOI:10.1136/bmjpo-2024-002982
PMID:39689925
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12090531/
Abstract

Children living with Down syndrome are at a high risk of eating and drinking difficulties (dysphagia) and are more susceptible to respiratory infections. In an urban National Health Service community Trust, a retrospective service evaluation was carried out for referrals received during 2012-2017. The study examined the respiratory health outcomes 3 years after dysphagia intervention. Children whose dysphagia was identified early (<12 months) using cervical auscultation with subsequent intervention did not develop lower respiratory tract infections (LRTI) post intervention. Children whose dysphagia management was commenced after 12 months of age and those who had no intervention developed LRTI.

摘要

患有唐氏综合征的儿童存在较高的饮食困难(吞咽困难)风险,且更容易发生呼吸道感染。在一个城市的国民保健服务社区信托机构中,对2012年至2017年期间收到的转诊病例进行了回顾性服务评估。该研究考察了吞咽困难干预3年后的呼吸健康结果。通过颈部听诊早期(<12个月)识别出吞咽困难并随后进行干预的儿童,干预后未发生下呼吸道感染(LRTI)。吞咽困难管理在12个月龄后开始的儿童以及未接受干预的儿童发生了LRTI。

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本文引用的文献

1
Clinical feeding examination with cervical auscultation for detecting oropharyngeal aspiration: A systematic review of the evidence.临床经听诊颈检查用于检测口咽吸入:系统评价证据。
Clin Otolaryngol. 2019 Nov;44(6):927-934. doi: 10.1111/coa.13402. Epub 2019 Oct 8.
2
Clinical identification of feeding and swallowing disorders in 0-6 month old infants with Down syndrome.对唐氏综合征 0-6 个月婴儿喂养和吞咽障碍的临床识别。
Am J Med Genet A. 2019 Feb;179(2):177-182. doi: 10.1002/ajmg.a.11. Epub 2018 Dec 27.
3
Clinical Characteristics of Dysphagia in Children with Down Syndrome.唐氏综合征患儿吞咽困难的临床特征
Dysphagia. 2016 Oct;31(5):663-71. doi: 10.1007/s00455-016-9725-7. Epub 2016 Jul 12.
4
An overview of respiratory problems in children with Down's syndrome.唐氏综合征儿童的呼吸问题概述。
Arch Dis Child. 2013 Oct;98(10):812-7. doi: 10.1136/archdischild-2013-304611. Epub 2013 Jun 27.
5
Comorbidity, hospitalization, and medication use and their influence on mental and motor development of young infants with Down syndrome.合并症、住院治疗、药物使用及其对唐氏综合征幼儿心理和运动发育的影响。
Pediatrics. 2006 Oct;118(4):1633-9. doi: 10.1542/peds.2006-1136.