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Aspiration Pneumonia in Children with Cerebral Palsy after Videofluoroscopic Swallowing Study

机译:电镜下吞咽研究后脑瘫患儿的吸入性肺炎

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摘要

>Introduction Dysphagia is a common symptom in children with cerebral palsy, either in oral or pharyngeal phases. Children who face such difficulties tend to show health problems such as food aspiration, malnutrition and respiratory infections. Videofluoroscopic swallowing study is the most recommended for these cases, as it reveals the real situation during swallowing. >Objective The study aimed to verify the occurrence of aspiration pneumonia in children with cerebral palsy after videofluoroscopy. >Methods The population for this prospective cross-sectional study involved 103 children with cerebral palsy, referred for videofluoroscopic who had returned for medical examination after a week to search for signs and symptoms of pneumonia. >Results The study involved 46 girls (44.66%) and 57 boys (55.34%), aged between 0 and 14 years of age. Of the total, 84 (81.5%) had dysphagia, of which 24 (23.3%) were severe, 8 (7.7%) were moderate and 52 (50.4%) were mild dysphagia. None of the children presented aspiration pneumonia or infectious complications during the course of videofluoroscopy or after the procedure. >Conclusion In the population studied, the authors found no cases of aspiration pneumonia, even with tracheal aspiration present in 32 (31.07%) cases.
机译:>简介吞咽困难是脑性瘫痪儿童的口腔或咽部常见症状。面临此类困难的儿童往往会出现健康问题,例如食物误食,营养不良和呼吸道感染。对于这些情况,最推荐使用视频透视吞咽研究,因为它揭示了吞咽过程中的真实情况。 >目的这项研究旨在验证视频透视检查后脑瘫患儿吸入性肺炎的发生情况。 >方法这项前瞻性横断面研究的人群包括103例脑瘫患儿,他们接受了X线透视检查,他们在一周后返回医疗检查以寻找肺炎的体征和症状。 >结果该研究涉及0至14岁之间的46名女孩(44.66%)和57名男孩(55.34%)。在总数中,有84位(81.5%)发生吞咽困难,其中24位(23.3%)为重度吞咽困难,8位(7.7%)为中度吞咽困难,52位(50.4%)为轻度吞咽困难。在视频透视检查过程中或手术后,没有儿童出现吸入性肺炎或感染并发症。 >结论在研究的人群中,没有发现吸入性肺炎的病例,即使有32例(31.07%)的患者发生了气管吸入性肺炎。

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