中华护理杂志 ›› 2023, Vol. 58 ›› Issue (16): 2039-2042.DOI: 10.3761/j.issn.0254-1769.2023.16.020
收稿日期:2022-08-03
出版日期:2023-08-20
发布日期:2023-08-14
*通讯作者:
李敏敏,E-mail:liminmin252@163.com作者简介:苑文婷:女,本科,主管护师,E-mail:yuanwt2022@163.com
基金资助:
YUAN Wenting(
), LIU Jin, SI Zaixia, LI Minmin(
)
Received:2022-08-03
Online:2023-08-20
Published:2023-08-14
摘要:
吞咽困难是阻碍先天性心脏病(congenital heart disease,CHD)术后婴幼儿接受完全经口喂养的重要因素,早期识别有吞咽困难发生风险的婴幼儿并尽早干预,可降低营养不良、发育迟缓等相关并发症的发生率,改善其预后。该文从CHD术后婴幼儿吞咽困难的主要表现及发生现状、危险因素、评估工具及检查项目、干预策略等方面进行综述,以期为医护人员制订CHD术后婴幼儿吞咽困难的综合管理方案提供参考。
苑文婷, 刘进, 司在霞, 李敏敏. 先天性心脏病术后婴幼儿吞咽困难的研究进展[J]. 中华护理杂志, 2023, 58(16): 2039-2042.
YUAN Wenting, LIU Jin, SI Zaixia, LI Minmin. Research progress of infants with congenital heart disease and postoperative dysphagia[J]. Chinese Journal of Nursing, 2023, 58(16): 2039-2042.
| [1] |
Liu YJ, Chen S, Zühlke L, et al. Global birth prevalence of congenital heart defects 1970-2017:updated systematic review and meta-analysis of 260 studies[J]. Int J Epidemiol, 2019, 48(2):455-463.
DOI URL |
| [2] |
Zhao QM, Liu F, Wu L, et al. Prevalence of congenital heart disease at live birth in China[J]. J Pediatr, 2019, 204:53-58.
DOI URL |
| [3] |
Maurer I, Latal B, Geissmann H, et al. Prevalence and predictors of later feeding disorders in children who underwent neonatal cardiac surgery for congenital heart disease[J]. Cardiol Young, 2011, 21(3):303-309.
DOI PMID |
| [4] | 张慧文, 顾莺, 王慧美, 等. 先天性心脏病患儿营养及喂养现状的调查研究[J]. 中华护理杂志, 2016, 51(5):578-582. |
| Zhang HW, Gu Y, Wang HM, et al. The nutritional and feeding status of infants with congenital heart disease:a multi-center study[J]. Chin J Nurs, 2016, 51(5):578-582. | |
| [5] |
Lawlor CM, Choi S. Diagnosis and management of pediatric dys-phagia:a review[J]. JAMA Otolaryngol Head Neck Surg, 2020, 146(2):183-191.
DOI URL |
| [6] |
Yi SH, Kim SJ, Huh J, et al. Dysphagia in infants after open heart procedures[J]. Am J Phys Med Rehabil, 2013, 92(6):496-503.
DOI URL |
| [7] |
Pham V, Connelly D, Wei JL, et al. Vocal cord paralysis and Dysphagia after aortic arch reconstruction and Norwood procedure[J]. Otolaryngol Head Neck Surg, 2014, 150(5):827-833.
DOI PMID |
| [8] | 罗雯懿, 何萍萍, 管咏梅, 等. 完全性大动脉转位术后患儿经口喂养不良的影响因素分析[J]. 中华护理杂志, 2016, 51(6):677-680. |
| Luo WY, He PP, Guan YM, et al. Incidence and its influencing factors of oral feeding difficulties for pediatric patients after D-TGA surgery[J]. Chin J Nurs, 2016, 51(6):677-680. | |
| [9] |
Arvedson JC, Lefton-Greif MA. Anatomy,physiology,and develo-pment of feeding[J]. Semin Speech Lang, 1996, 17(4):261-268.
PMID |
| [10] |
Einarson KD, Arthur HM. Predictors of oral feeding difficulty in cardiac surgical infants[J]. Pediatr Nurs, 2003, 29(4):315-319.
PMID |
| [11] |
Sables-Baus S, Kaufman J, Cook P, et al. Oral feeding outco-mes in neonates with congenital cardiac disease undergoing cardiac surgery[J]. Cardiol Young, 2012, 22(1):42-48.
DOI PMID |
| [12] |
Pourmoghadam KK, DeCampli WM, Ruzmetov M, et al. Recur-rent laryngeal nerve injury and swallowing dysfunction in neonatal aortic arch repair[J]. Ann Thorac Surg, 2017, 104(5):1611-1618.
DOI PMID |
| [13] |
Kogon BE, Ramaswamy V, Todd K, et al. Feeding difficulty in newborns following congenital heart surgery[J]. Congenit Heart Dis, 2007, 2(5):332-337.
DOI PMID |
| [14] | Souza PC, Gigoski VS, Etges CL, et al. Findings of postope-rative clinical assessment of swallowing in infants with co-ngenital heart defect[J]. Codas, 2018, 30(1):e20170024. |
| [15] |
Puchalski MD, Lui GK, Miller-Hance WC, et al. Guidelines for performing a comprehensive transesophageal echocardiogra-phic:examination in children and all patients with congenital heart disease:recommendations from the American society of echocardiography[J]. J Am Soc Echocardiogr, 2019, 32(2):173-215.
DOI URL |
| [16] |
Rousou JA, Tighe DA, Garb JL, et al. Risk of dysphagia after transeso-phageal echocardiography during cardiac operations[J]. Ann Thorac Surg, 2000, 69(2):486-489.
PMID |
| [17] |
Indramohan G, Pedigo TP, Rostoker N, et al. Identification of risk factors for poor feeding in infants with congenital heart disease and a novel approach to improve oral feeding[J]. J Pediatr Nurs, 2017, 35:149-154.
DOI PMID |
| [18] | 罗明, 覃洪金, 黄玉珠, 等. 儿童口腔运动及进食能力评估工具研究进展[J]. 护士进修杂志, 2020, 35(13):1176-1179. |
| Luo M, Qin HJ, Huang YZ, et al. Research progress on eva-luation tools of children's oral movement and eating ability[J]. J Nurses Train, 2020, 35(13):1176-1179. | |
| [19] |
Reilly S, Skuse D, Mathisen B, et al. The objective rating of oral-motor functions during feeding[J]. Dysphagia, 1995, 10(3):177-191.
DOI PMID |
| [20] |
Ko MJ, Kang MJ, Ko KJ, et al. Clinical usefulness of Schedule for Oral-Motor Assessment(SOMA) in children with dyspha-gia[J]. Ann Rehabil Med, 2011, 35(4):477-484.
DOI URL |
| [21] | 徐琼. 上海地区婴幼儿进食行为调查和口运动评估量表的应用初探[D]. 上海: 复旦大学, 2010. |
| Xu Q. Research on feeding behavior of infants and toddlers in Shanghai and initial analysis on the application of the Schedule for Oral Motor Assessment(SOMA)[D]. Shanghai: Fudan University, 2010. | |
| [22] |
Calis EA, Veugelers R, Sheppard JJ, et al. Dysphagia in chil-dren with severe generalized cerebral palsy and intellectual disability[J]. Dev Med Child Neurol, 2008, 50(8):625-630.
DOI URL |
| [23] |
Joan J, Sheppard, Baer C. The dysphagia disorder survey:vali-dation of an assessment for swallowing and feeding function in developmental disability[J]. Res Dev Disabil, 2014, 35(5):929-942.
DOI PMID |
| [24] | Kwa L, Willette S, Schroeder JW. Evaluating dysphagia in in-fants with congenital heart disease using Fiberoptic Endos-copic Evaluation of Swallowing[J]. Int J Pediatr Otorhinolary-ngol, 2022, 152:111004. |
| [25] | 林淑皖, 张红, 涂惠琼. 母乳口腔运动干预对婴儿体外循环术后胃肠功能恢复的影响[J]. 护理学杂志, 2022, 37(21):36-39. |
| Lin SW, Zhang H, Tu HQ. Impact of olfactory stimulation with breast milk on digestive function recovery in infants after cardiopulmonary bypass[J]. J Nurs Sci, 2022, 37(21):36-39. | |
| [26] |
Pados BF, Thoyre SM, Estrem HH, et al. Effects of milk flow on the physiological and behavioural responses to feeding in an infant with hypoplastic left heart syndrome[J]. Cardiol Young, 2017, 27(1):139-153.
DOI PMID |
| [27] | Hartman DM, Medoff-Cooper B. Transition to home after neo-natal surgery for congenital heart disease[J]. MCN Am J Ma-tern Child Nurs, 2012, 37(2):95-100. |
| [28] |
White BR, Ermarth A, Thomas D, et al. Creation of a standard model for tube feeding at neonatal intensive care unit dis-charge[J]. JPEN J Parenter Enteral Nutr, 2020, 44(3):491-499.
DOI URL |
| [29] | 罗雯懿, 管咏梅, 姚漪蔚, 等. 大动脉转位手术新生儿围术期喂养行为干预方案的效果评价[J]. 上海交通大学学报(医学版), 2016, 36(12):1754-1758,1762. |
| Luo WY, Guan YM, Yao YW, et al. Assessment of a periope-rative feeding behavioral intervention protocol for neonates undergoing arterial switch procedure[J]. J Shanghai Jiao Tong Univ Med Sci, 2016, 36(12):1754-1758,1762. | |
| [30] |
余金甜, 陈俊杉, 张爱琴. 心脏术后患者发生获得性吞咽障碍危险因素的Meta分析[J]. 中华护理杂志, 2020, 55(3):451-455.
DOI |
|
Yu JT, Chen JS, Zhang AQ. A Meta-analysis of risk factors for acquired swallowing disorders among patients after cardiac surgery[J]. Chin J Nurs, 2020, 55(3):451-455.
DOI |
|
| [31] |
余金甜, 陈俊杉, 张爱琴. 心脏术后获得性吞咽障碍患者吞咽功能恢复时间及影响因素研究[J]. 中华护理杂志, 2020, 55(9):1341-1345.
DOI |
| Yu JT, Chen JS, Zhang AQ. Study on recovery time and in-fluencing factors of swallowing function in patients with ac-quired dysphagia after cardiac surgery[J]. Chin J Nurs, 2020, 55(9):1341-1345. |
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