增稠液治疗小儿吞咽困难:从临床实践看。

Postgraduate medicine Pub Date : 2025-03-01 Epub Date: 2025-02-05 DOI:10.1080/00325481.2025.2457318
Karen van Hulst, Esther van Ijken, Leonie van Vliet
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引用次数: 0

摘要

背景:吞咽困难是婴幼儿的常见病,尤其是神经发育障碍患者。小儿吞咽困难的处理需要根据个体临床特征定制方法。本报告描述了我们使用刺槐豆和黄原胶为基础的增稠剂(ThickenUp®Junior)治疗小儿吞咽困难的经验,该增稠剂提供稳定的稠度并保留液体的原始味道。案例报告:讨论了四个案例,以突出新型增稠剂的使用。每个病例都说明了不同方面的吞咽困难管理,如提高吞咽安全,加强口服控制,并通过量身定制的增厚策略来维持营养摄入。我们的经验表明,使用专门的增稠剂对于预防吸入性肺炎并最终改善受影响儿童的健康至关重要。我们还强调了个性化治疗计划的重要性,它考虑到每个孩子的独特需求。由多学科团队进行的综合评估导致针对儿童的具体情况和挑战制定了有效的治疗策略。结论:以刺槐豆和黄原胶为基础的新型增稠剂可有效治疗婴幼儿吞咽困难和预防并发症。这些药物可以提高吞咽安全性,加强口服控制,并保持营养摄入,最终改善患病儿童的健康状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Thickening liquids for pediatric dysphagia: a perspective from clinical practice.

Background: Dysphagia is a common condition in infants and young children, particularly among those with neurodevelopmental disabilities. The management of pediatric dysphagia requires customized approaches based on individual clinical features. This report describes our experience in managing pediatric dysphagia using a locust bean- and xanthan gum-based thickener (ThickenUp® Junior), which offers stable consistency and preserves the original taste of liquids.

Case report: Four cases were discussed to highlight the use of the new thickener. Each case illustrates different aspects of dysphagia management, such as improving swallowing safety, enhancing oral control, and maintaining nutritional intake through tailored thickening strategies. Our experience demonstrates the importance of using specialized thickening agents to prevent aspiration pneumonia and, ultimately, improve the well-being of affected children. We also highlighted the importance of individualized treatment plans, which consider each child's unique needs. A comprehensive evaluation by a multidisciplinary team led to an effective treatment strategy tailored to the child's specific condition and challenges.

Conclusions: The new locust bean- and xanthan gum-based thickener is effective in managing dysphagia and preventing complications in infants and young children. Such agents can improve swallowing safety, enhance oral control, and maintain nutritional intake, ultimately improving the well-being of the affected children.

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