食管闭锁手术患者的吞咽困难:功能量表评估。

P Salcedo Arroyo, C Corona Bellostas, P Vargova, R Fernández Atuan, P Bragagnini Rodríguez, R García Romero, I Ros Arnal, M J Romea Montañés, R Escartín Villacampa
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引用次数: 0

摘要

引言:吞咽困难是指吞咽困难。在接受食道闭锁手术的患者中,高达84%的患者在新生儿期后出现吞咽困难。材料和方法:对2005年至2021年接受食管闭锁手术的患者进行回顾性研究。功能性口腔摄入量表(FOIS)用于评估4个年龄组的吞咽困难( 11岁)。FOIS评分结果:对63例患者进行分析。74%(47/63)在随访期间出现吞咽困难。患者的患病率为50% 11岁(FOIS平均6.8)。吞咽困难最常见的原因是狭窄,38%的患者(n=24)和胃食管反流(n=18),28%的患者存在胃食管反流病。这两种情况都与平均FOIS评分显著降低有关(P结论:在接受食管闭锁手术的患者中,吞咽困难在任何特定年龄段都是一种极其常见的症状。标准化、跨学科的随访是提高生活质量的关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dysphagia in patients undergoing esophageal atresia surgery: Assessment using a functional scale.

Introduction: Dysphagia is defined as difficulty swallowing. Up to 84% of patients undergoing esophageal atresia surgery have dysphagia beyond the neonatal period.

Materials and methods: A retrospective study of patients undergoing esophageal atresia surgery from 2005 to 2021 was carried out. The Functional Oral Intake Scale (FOIS) was used to assess dysphagia in 4 age groups (< 1 year old, 1-4 years old, 5-11 years old, and > 11 years old). FOIS scores < 7 or symptoms of choking, impaction, or food aversion were regarded as dysphagia.

Results: 63 patients were analyzed. 74% (47/63) had dysphagia during follow-up. Prevalence was 50% in patients < 1 year old (FOIS mean 4.32), 77% in patients aged 1-4 (FOIS mean 5.61), 45% in patients aged 5-11 (FOIS mean 5.87), and 38% in patients > 11 years old (FOIS mean 6.8). The most frequent causes of dysphagia were stenosis, which occurred in 38% of the patients (n=24), and gastroesophageal reflux (n=18), which was present in 28% of the patients. Both conditions were associated with significantly lower mean FOIS scores (p< 0.05) in the patients under 11 years of age. Differences (p< 0.05) were found in the dysphagia-associated perinatal factors in the various age groups, with longer ventilation assistance times, parenteral nutrition, and hospital stays.

Conclusions: Dysphagia is an extremely frequent symptom at any given age in patients undergoing esophageal atresia surgery. A standardized, cross-disciplinary follow-up is key to improve quality of life.

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