接受高流量氧气治疗的幼儿的吞咽和喂食问题

IF 1 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Ruhee Hoosain, Bhavani S. Pillay, Shabnam Abdoola, M. Graham, E. Krüger
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引用次数: 0

摘要

背景:使用高流量供氧(HFO2)的年轻患者的口服喂养方法一直存在争议。这方面的文献有限,但新的研究建议引入口腔喂养:本研究旨在描述一组使用高流量供氧的幼儿在吞咽和喂食方面的变化:方法:使用口腔运动评估表在床边对 12 名接受高频氧饱和度治疗的参与者(平均年龄 34.17 个月[s.d. = 3.97])进行临床评估。为了确定特征的变化,我们进行了两次评估:在使用高频氧饱和度呼吸稳定后获得主治医生的批准,并在接受高频氧饱和度的最后一天进行第二次评估(平均相隔 2.6 天)。患者接受标准住院治疗和言语治疗干预:大多数参与者在液体、果泥和半固体稠度的初始和最终评估中均表现出典型的口腔运动功能。大多数参与者(n = 11,91.7%)都能接受果泥和软固体稠度。在两次评估中,固体和咀嚼片对所有参与者来说都具有挑战性。仅在初次评估时,半数参与者就出现了吞咽困难和吃稀液体时声音潮湿的情况:这项小规模研究发现,高氟酸血症不应排除口服饮食,但在该样本中,少量口服喂养应谨慎、因人而异,并采用多学科合作的方法。进一步的研究至关重要:贡献:在对接受高氟酸血症治疗的年轻儿科住院患者进行评估时,可以部分口服特定浓度的食物。专业喂养团队对患者个体特征和风险因素的监控至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Swallowing and feeding of young children on high-flow oxygen therapy
Background: Oral feeding practices of young patients on high-flow oxygen (HFO2) have been controversial. Limited literature exists on this topic, but new studies suggest introducing oral feeds.Objective: This study aims to describe the changes in swallowing and feeding of a group of young children on HFO2.Method: Twelve participants (mean age 34.17 months [s.d. = 3.97]) on HFO2 were assessed clinically at the bedside using the Schedule of Oral Motor Assessment. Assessments were conducted twice to determine the change in characteristics: upon approval from the managing doctor when respiratory stability on HFO2 was achieved and for a second time on the last day of receiving HFO2 (mean 2.6 days apart). Patients received standard in-patient care and speech therapy intervention.Results: Most participants displayed typical oral motor function at initial and final assessments for liquid, puree and semi-solid consistencies. Purees and soft solid consistencies were introduced to most participants (n = 11, 91.7%). Solids and chewables were challenging for all participants during both assessments. Half of the participants displayed gagging and a wet vocal quality with thin liquids at the initial assessment only.Conclusion: This small-scale study found that HFO2 should not preclude oral diets, but in this sample, small amounts of oral feeding could be introduced with caution, in an individualised manner, and with a collaborative multidisciplinary approach. Further research is essential.Contribution: Partial oral feeding of specific consistencies was possible during the assessment of young paediatric in-patients on HFO2. Monitoring of individual patient characteristics and risk factors by a specialist feeding team is essential.
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来源期刊
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.10
自引率
36.40%
发文量
37
审稿时长
30 weeks
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