지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 175 - 182 (8page)
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초록· 키워드
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Objective To determine the clinical characteristics and videofluoroscopic swallowing study (VFSS) findings in infants with suspected dysphagia and compare the clinical characteristics and VFSS findings between full-term and preterm infants.Methods A total of 107 infants (67 full-term and 40 preterm) with suspected dysphagia who were referred for VFSS at a tertiary university hospital were enrolled in this retrospective study. Clinical characteristics and VFSS findings were reviewed by a physiatrist and an experienced speech-language pathologist. The association between the reasons of referral for VFSS and VFSS findings were analyzed.Results Mean gestational age was 35.1±5.3 weeks, and mean birth weight was 2,381±1,026 g. The most common reason for VFSS referral was ‘poor sucking’ in full-term infants and ‘desaturation’ in preterm infants. The most common associated medical condition was ‘congenital heart disease’ in full-term infants and ‘bronchopulmonary dysplasia’ in preterm infants. Aspiration was observed in 42 infants (39.3%) and coughing was the only clinical predictor of aspiration in VFSS. However, 34 of 42 infants (81.0%) who showed aspiration exhibited silent aspiration during VFSS. There were no significant differences in the VFSS findings between the full-term and preterm infants except for ‘decreased sustained sucking.’Conclusion There are some differences in the clinical manifestations and VFSS findings between full-term and preterm infants with suspected dysphagia. The present findings provide a better understanding of these differences and can help clarify the different pathophysiologic mechanisms of dysphagia in infants.
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참고문헌 (20)
참고문헌 신청
Arvedson J. / 1994 / Silent aspiration prominent in children with dysphagia / Int J Pediatr Otorhinolaryngol 28 : 173 ~ 181
Arvedson J. / 2010 / Evidence-based systematic review : effects of oral motor interventions on feeding and swallowing in preterm infants / Am J Speech Lang Pathol 19 : 321 ~
Bu’Lock F. / 1990 / Development of co-ordination of sucking, swallowing and breathing : ultrasound study of term and preterm infants / Dev Med Child Neurol 32 : 669 ~ 678
Chung SH. / 1999 / Clinical manifestations of dysphagia in children / J Korean Pediatr Soc 42 : 60 ~ 68
Delaney AL. / 2008 / Development of swallowing and feeding : prenatal through first year of life / Dev Disabil Res Rev 14 : 105 ~ 117
Arvedson J. / 2010 / Evidence-based systematic review : effects of oral motor interventions on feeding and swallowing in preterm infants / Am J Speech Lang Pathol 19 : 321 ~
Bu’Lock F. / 1990 / Development of co-ordination of sucking, swallowing and breathing : ultrasound study of term and preterm infants / Dev Med Child Neurol 32 : 669 ~ 678
Chung SH. / 1999 / Clinical manifestations of dysphagia in children / J Korean Pediatr Soc 42 : 60 ~ 68
Delaney AL. / 2008 / Development of swallowing and feeding : prenatal through first year of life / Dev Disabil Res Rev 14 : 105 ~ 117
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