成年重度发育障碍患者气管误吸的长期发病率及管理策略

Long-term morbidity and management strategies of tracheal aspiration in adults with severe developmental disabilities.

作者信息

Rogers B, Stratton P, Msall M, Andres M, Champlain M K, Koerner P, Piazza J

机构信息

School of Medicine and Biomedical Sciences, State University of New York at Buffalo.

出版信息

Am J Ment Retard. 1994 Jan;98(4):490-8.

PMID:8148125

Abstract

The feeding skills and health of 73 adults with severe developmental disabilities who aspirated were examined between 1986 and 1990. Sixty individuals had profound mental retardation (82%) and 48, cerebral palsy (66%). Modified barium swallow studies, esophagrams and gastric follow-throughs were completed on 67 clients (92%). Twenty adults aspirated barium. Aspiration was specific for barium texture in 8 (40%). Mobility, level of mental retardation, or feeding skills did not discriminate those who aspirated. Mealtime respiratory distress (65%) or chronic lung disease (55%), however, were significantly associated with aspiration. More studies are needed on the early identification and management of aspiration.

摘要

1986年至1990年间，对73名存在误吸情况的重度发育障碍成年人的进食技能和健康状况进行了检查。其中60人有严重智力障碍（82%），48人患有脑瘫（66%）。67名患者（92%）完成了改良钡餐吞咽研究、食管造影和胃排空检查。20名成年人误吸了钡剂。8人（40%）的误吸与钡剂质地有关。运动能力、智力障碍程度或进食技能并不能区分有误吸情况的患者。然而，进餐时呼吸窘迫（65%）或慢性肺病（55%）与误吸显著相关。对于误吸的早期识别和管理，还需要进行更多研究。