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DING Jing, MA Lei, WANG Yuanyuan, TU Jingjing. Application value of intermittent oral-to-esophageal tube feeding combined with perioral massage in treating dysphagia of children with Pierre-Robin Syndrome[J]. Journal of Clinical Medicine in Practice, 2024, 28(14): 109-113. DOI: 10.7619/jcmp.20240072
Citation: DING Jing, MA Lei, WANG Yuanyuan, TU Jingjing. Application value of intermittent oral-to-esophageal tube feeding combined with perioral massage in treating dysphagia of children with Pierre-Robin Syndrome[J]. Journal of Clinical Medicine in Practice, 2024, 28(14): 109-113. DOI: 10.7619/jcmp.20240072
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Application value of intermittent oral-to-esophageal tube feeding combined with perioral massage in treating dysphagia of children with Pierre-Robin Syndrome

  • Department of Burns and Plastic Surgery, Children′s Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu, 210000

More Information
  • Received Date: January 03, 2024
  • Revised Date: April 07, 2024
  • Available Online: July 19, 2024
    Graphical Abstract
    • Abstract
  • Objective 

    To investigate the clinical value of intermittent oral-to-esophageal tube feeding combined with perioral massage in treating dysphagia of children with Pierre Robin Syndrome (PRS).

    Methods 

    A total of 92 PRS children with mandibular distraction osteogenesis were selected and divided into observation group and control group by stratified randomization, with 46 cases in each group. The control group received continuous nasal tube feeding intervention, while the observation group received intermittent oral-to-esophageal tube feeding combined with perioral massage intervention. The changes in nutritional status[body mass index (BMI), serum hemoglobin (Hb), total protein (TP), albumin (ALB)] before and after 1 month of intervention were compared between the two groups. The clinical indicators (hospital stay, time to start oral feeding, and time to full gastrointestinal feeding) were also compared 1 month after the intervention. The swallowing conditions and incidence of complications were recorded in both groups.

    Results 

    After 1 month of intervention, BMI, Hb, TP and ALB in both groups significantly increased, and the observation group had significant higher values in BMI of (21.58±1.26) kg/m2, Hb of (118.76±10.36) g/L, TP of (55.28±6.74) g/L, ALB of (33.46±4.37) g/L compared to BMI of (20.30±1.22) kg/m2, Hb of (112.74±9.46) g/L, TP of (51.68±6.33) g/L and ALB of (30.59±4.68) g/L in the control group (P < 0.05). In the observation group, the feeding time was (32.26±4.43) minutes, hospital stay was (21.48±3.11) days, time to start oral feeding was (14.26±3.16) days, and time to full gastrointestinal feeding was (16.79±2.32) days, which were significantly shorter than (36.79±4.65) min, (24.39±3.31) days, (17.25±3.24) days, and (20.48±3.29) days respectively in the control group (P < 0.05); the average residual feeding volume was (10.26±2.18) mL and the number of cases with milk flow was 8 (17.39%) in the observation group, which were significantly less than (12.79±2.31) mL and 17 (36.95%) in the control group (P < 0.05).

    Conclusion 

    Intermittent oral-to-esophageal tube feeding combined with perioral massage can effectively improve swallowing difficulty in children with PRS and shorten the hospital stay.

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    • References (22)
  • [1]
    沈卫民. 儿童颅颌面外科诊疗进展与思考[J]. 中华整形外科杂志, 2019, 35(2): 99-104.
    [2]
    孔亮亮, 孙步豪, 季易, 等. 小婴儿Pierre Robin序列征中腭与舌骨发育情况的观察[J]. 中华整形外科杂志, 2021, 7(2): 137-143. doi: 10.3760/cma.j.cn114453-20200219-00060
    [3]
    赵竟伊, 靳小雷. 下颌骨牵引成骨技术在婴幼儿Pierre Robin序列征治疗中的应用进展[J]. 中华整形外科杂志, 2014, 30(2): 157-160.
    [4]
    KHANSA I, HALL C, MADHOUN L L, et al. Airway and feeding outcomes of mandibular distraction, tongue-lip adhesion, and conservative management in Pierre robin sequence: a prospective study[J]. Plast Reconstr Surg, 2017, 139(4): 975e-983e. doi: 10.1097/PRS.0000000000003167
    [5]
    赵幸娜, 王留根, 曾西. 间歇性经口至食管管饲法对皮罗综合征患儿吞咽功能的影响[J]. 中华物理医学与康复杂志, 2021, 43(3): 246-248. doi: 10.3760/cma.j.issn.0254-1424.2021.03.012
    [6]
    何妮娜, 冯霞, 刘冬梅, 等. 间歇性经口至食管管饲法对脑卒中伴吞咽障碍患者吞咽功能、营养状况及长期预后的影响[J]. 现代中西医结合杂志, 2021, 30(18): 2026-2030. doi: 10.3969/j.issn.1008-8849.2021.18.020
    [7]
    王婷玮, 胡瑞萍, 邰佳慧, 等. 经鼻留置胃管与间歇性经口至食管管饲法应用于脑卒中后吞咽障碍患者的临床评价[J]. 中国康复医学杂志, 2022, 8(8): 1023-1029. doi: 10.3969/j.issn.1001-1242.2022.08.003
    [8]
    杨春燕, 刘凤敏, 周丽英, 等. 早期口腔运动干预对早产儿预后的影响[J]. 中华危重病急救医学, 2019, 31(2): 150-154. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK202411010.htm
    [9]
    吴龙艳, 戎惠. 口周按摩联合试喂养方法在新生儿窒息致吞咽障碍患儿中的应用效果[J]. 中华现代护理杂志, 2022, 28(5): 668-671. doi: 10.3760/cma.j.cn115682-20210507-01962
    [10]
    沈卫民, 崔杰, 陈建兵, 等. 牵引成骨术治疗新生儿Pierre Robin综合征呼吸阻塞[J]. 中华整形外科杂志, 2010, 26(1): 4-7. doi: 10.3760/cma.j.issn.1009-4598.2010.01.002
    [11]
    李良飞, 甘敏, 陈林. 强化康复护理干预对吞咽障碍患儿功能恢复的影响[J]. 护理学报, 2012, 19(8): 56-58. doi: 10.3969/j.issn.1008-9969.2012.08.020
    [12]
    王智超, 李兴霞, 张震. 口周按摩联合试喂用于HIE合并吞咽障碍患儿的临床效果[J]. 护理实践与研究, 2020, 17(4): 127-129. doi: 10.3969/j.issn.1672-9676.2020.04.049
    [13]
    史明慧, 余晓远, 石彩晓. 口肌训练联合试喂养治疗脑炎伴吞咽障碍患儿的疗效观察[J]. 中华物理医学与康复杂志, 2020, 42(2): 133-135. doi: 10.3760/cma.j.issn.0254-1424.2020.02.009
    [14]
    蒋名丽, 赵磊, 李朝晖, 等. 口周按摩联合试喂对新生儿缺氧缺血性脑病吞咽障碍的效果研究[J]. 中国实用护理杂志, 2018, 34(33): 2610-2614. doi: 10.3760/cma.j.issn.1672-7088.2018.33.011
    [15]
    高兰, 郭桂丽, 明晓峰, 等. 间歇性经口至食管管饲在脑卒中吞咽障碍患者中的应用进展[J]. 实用心脑肺血管病杂志, 2020, 28(9): 115-118. doi: 10.3969/j.issn.1008-5971.2020.09.023
    [16]
    李巍, 王亮, 李晶晶, 等. 情景模拟摄食训练联合微视频对脑卒中吞咽障碍患者安全进食及营养状况的影响[J]. 中国临床医生杂志, 2023, 51(7): 810-813. doi: 10.3969/j.issn.2095-8552.2023.07.015
    [17]
    印亚梅. 脑卒中吞咽困难患者康复训练的效果观察[J]. 实用临床医药杂志, 2019, 23(12): 99-102. doi: 10.7619/jcmp.201912029
    [18]
    高伟琪. 间歇经口至食管管饲法对脑瘫患儿吞咽障碍的临床观察[D]. 郑州: 郑州大学, 2020.
    [19]
    何妮娜, 冯霞, 刘冬梅, 等. 间歇性经口至食管管饲法对脑卒中伴吞咽障碍患者吞咽功能、营养状况及长期预后的影响[J]. 现代中西医结合杂志, 2021, 30(18): 2026-2030. doi: 10.3969/j.issn.1008-8849.2021.18.020
    [20]
    张培宇, 丁玉深, 许亚红. 间歇性经口至食管管饲法在脑卒中后吞咽障碍患者中应用的Meta分析[J]. 中华现代护理杂志, 2021, 27(25): 3420-3426. doi: 10.3760/cma.j.cn115682-20201024-05894
    [21]
    余欢, 李娟, 邹敏. 间歇性经口至食管管饲法联合穴位电刺激在中重度老年吞咽障碍患者中的应用研究[J]. 护士进修杂志, 2022, 8(24): 2258-2264. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX202224012.htm
    [22]
    万淑, 胡淑霞, 张磊, 等. 鼻肠管营养支持在先天性心脏病体外循环术后患儿中的应用[J]. 护理实践与研究, 2022, 8(11): 1690-1694. doi: 10.3969/j.issn.1672-9676.2022.11.024
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