吞咽困难儿童的评估

Sevinç Gari̇p
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引用次数: 0

摘要

目的:吞咽困难;这是摄入的食物从口腔转移到胃的过程中受到机械性抑制而出现的症状。它可以由急性和慢性疾病引起。本研究的目的在于比较儿科健康儿童和慢性病儿童两种类型的口咽和食管吞咽困难的特征,因为这方面的研究数量有限。材料与方法:纳入2019年5月至2020年11月期间收治的201名吞咽困难儿科患者。根据吞咽困难的类型对他们进行分组。结果第一组包括80名口咽吞咽困难的儿科患者,第二组包括121名食道吞咽困难的儿科患者。51.7%的患者为女性,平均年龄为 9.4 岁。第二组所有患者均有固体食物吞咽困难,而第一组有27%的患者有液体食物吞咽困难,53%的患者有固体-液体食物吞咽困难。为 50 名无法安全进食的儿童患者置入经皮内镜胃造瘘管;为 4 名儿童置入鼻胃喂养管。72.6%的患者接受了食管胃十二指肠镜检查,55.4%的患者发现了食管病变。结论:虽然吞咽困难在患有慢性疾病的儿童中发病率很高,但不应忘记,健康儿童也可能出现吞咽困难,而且可能与可治疗的食道疾病有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Disfajisi olan çocukların değerlendirilmesi
Purpose: Difficulty in swallowing; It is a symptom that occurs as a result of mechanical inhibition of the transfer of ingested food from the mouth to the stomach. It can be due to acute and chronic diseases. It is presented because of the limited number of studies comparing the characteristics of both types of oropharyngeal and esophageal dysphagia in healthy and chronically ill children in the pediatric population. Materials and Methods: 201 pediatric patients admitted with dysphagia between May 2019 and November 2020 were included. They were grouped according to the types of dysphagia. Results: Group-1 consisted of 80 pediatric patients with oropharyngeal dysphagia, while group-2 consisted of 121 pediatric patients with esophageal dysphagia. 51.7% of the patients were female, mean age was 9.4 years. While all patients in Group-2 had solid food dysphagia, Group-1 had 27% liquid and 53% solid-liquid dysphagia. Percutaneous endoscopic gastrostomy tube for 50 pediatric patients who could not be fed safely; A nasogastric feeding tube was placed in 4 children. Esophagogastroduodenoscopy was performed in 72.6% of the patients, and esophageal pathology was detected in 55.4%. Conclusions: Although the incidence of dysphagia is high in children with chronic diseases, it should not be forgotten that it can also be seen in healthy children and may be associated with treatable
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