Wright R E, Wright F R, Carson C A
Ulster Hospital Dundonald, Beltast, UK.
Pediatr Radiol. 1996 Oct;26(10):720-2. doi: 10.1007/BF01383388.
In this study 16 patients with severe spastic cerebral palsy with an age range between 6 months and 16 years were examined using videofluoroscopy and a modified barium meal. All patients were slow, inefficient eaters. Silent aspiration was demonstrated in five cases. The latter five patients demonstrated a delayed swallow reflex but there was little correlation between aspiration and the oral phase of deglutition. Our data confirms the impression that early diagnostic workup including videofluoroscopy is helpful in managing the feeding difficulties in these children, and may prevent chronic aspiration and malnutrition.
在本研究中，对16例年龄在6个月至16岁之间的重度痉挛型脑瘫患者进行了电视荧光吞咽造影检查和改良钡餐检查。所有患者进食缓慢且效率低下。5例患者出现隐性误吸。后5例患者吞咽反射延迟，但误吸与吞咽的口腔期之间几乎没有相关性。我们的数据证实了这样一种观点，即包括电视荧光吞咽造影检查在内的早期诊断检查有助于处理这些儿童的喂养困难，并可能预防慢性误吸和营养不良。
