Taniguchi M H, Moyer R S
Department of Minnesota Medical School, Minneapolis 55455.
Dev Med Child Neurol. 1994 Jun;36(6):495-502. doi: 10.1111/j.1469-8749.1994.tb11879.x.
The purpose of this study was to investigate the relationship between aspiration, as identified by videofluoroscopic swallowing (VFS) study, and pneumonia in children with suspected dysphagia. Data were retrospectively collected and analysed from 142 children referred for VFS over a one-year period. The median age was 33 months. Aspiration was identified in 44 per cent of the children studied. A history of pneumonia within one year of the VFS was found in 35 per cent. Aspiration, gastro-oesophageal reflux, and age one year or less were significant risk factors for pneumonia. Children with traumatic brain-injury were at less risk for pneumonia than all other children with suspected dysphagia. These results lend objective support to the previously suspected relationship between aspiration and pneumonia in this patient population.
本研究的目的是调查通过视频荧光吞咽（VFS）研究确定的误吸与疑似吞咽困难儿童肺炎之间的关系。回顾性收集并分析了在一年时间内转诊进行VFS检查的142名儿童的数据。中位年龄为33个月。在接受研究的儿童中，44%被发现有误吸。在VFS检查前一年内有肺炎病史的儿童占35%。误吸、胃食管反流和一岁及以下年龄是肺炎的重要危险因素。与所有其他疑似吞咽困难的儿童相比，创伤性脑损伤儿童患肺炎的风险较低。这些结果为该患者群体中先前怀疑的误吸与肺炎之间的关系提供了客观支持。
