Both pharyngeal and esophageal phases of swallowing are associated with recurrent pneumonia in pediatric patients
Both pharyngeal and esophageal phases of swallowing are associated with recurrent pneumonia in pediatric patients
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DOI：
10.1111/crj.12592
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发表时间：
2018-02-01
影响因子：
1.7
通讯作者：
Karaduman, Aynur Ayse
中科院分区：
文献类型：
--
作者：
Arslan, Selen Serel;Demir, Numan;Karaduman, Aynur Ayse
摘要吞咽功能障碍是小儿肺炎反复发作的主要原因之一。吞咽功能障碍应被认为不仅是一个问题的口咽阶段，但也是一个问题的食管phase.ObjectivesThis研究的目的是确定从吞咽研究结果之间的关系，并在儿科patients.MethodsA复发性肺炎的历史274例儿童吞咽功能障碍的videofluroscopic吞咽研究进行。在1年期间的复发性肺炎的历史上的信息，从医院files.ResultsThe参与者的中位年龄为33个月（最小=10，最大=180），其中51.8%是女性。在这项研究中，83.2%的患者患有脑瘫，7.7%的患者有综合征症状，3.6%的患者患有肌营养不良症，5.5%的患者被归类为其他。在1年期间，67.9%的参与者有肺炎复发史。此外，66.4%有口腔功能障碍，32.5%有喉穿透，46.4%有误吸，45.3%有食管体功能异常，35.8%有反流症状。口腔功能障碍与复发性肺炎之间无相关性（P= 0.902），但复发性肺炎与喉穿透呈正相关（P
IntroductionOne of the underlying causes of recurrent pneumonia in children is swallowing dysfunction, with aspiration syndrome. Swallowing dysfunction should be considered not only a problem of the oropharyngeal phase but also a problem of the esophageal phase.ObjectivesThis study aimed to determine the relationship between findings from a swallowing study and a history of recurrent pneumonia in pediatric patients.MethodsA videofluroscopic swallowing study of 274 pediatric patients who had swallowing dysfunction was conducted. Information on a history of recurrent pneumonia during a 1-year period was obtained from hospital files.ResultsThe median age of the participants was 33 months (min =10, max=180), of whom 51.8% were females. In the study, 83.2% of the patients had cerebral palsy, 7.7% had syndromic symptoms, 3.6% had muscular dystrophy, and 5.5% were classified as other. During the 1-year period, 67.9% of the participants had a history of recurrent pneumonia history. Furthermore, 66.4% had oral dysfunction, 32.5% had laryngeal penetration, 46.4% had aspiration, 45.3% had abnormal esophageal body function, and 35.8% had reflux symptoms. There was no correlation between oral dysfunction and recurrent pneumonia (P=.902), but there was a positive correlation between recurrent pneumonia and laryngeal penetration (P