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商业混合配方的厚度会对通过肠道料的成功输送产生不利影响
Judy-April Murayi1, Elizabeth Evenson2, Debbie Verkin-Siebert2
1Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, USA.
较厚的商业混合配方 (CBF) 输送的体积小于通过养编程的,这可能会影响儿科体重增加. 需要进一步的研究来优化配方的一致性,以确保准确的输送和热量摄入.
科学领域:
- 儿童营养学 儿童营养学
- 医疗设备工程 医疗设备工程
- 胃肠病学 胃肠病学
背景情况:
- 越来越多的人对儿童肠道营养的真实食品成分感兴趣,因为他们认为这种营养有好处,比如改善食耐受性和肠道健康.
- 肠道营养的儿童经常使用食,需要了解影响分娩的配方特性.
- 商业混合配方 (CBF) 厚度的变化对通过料进行准确的给药构成了挑战.
研究的目的:
- 调查商业混合配方 (CBF) 的厚度与它们通过料所规定的输送量之间的关系.
- 为了测试假设,提供不准确的CBF体积,不准确率与配方厚度成比例.
主要方法:
- 国际食障碍饮食标准化倡议 (IDDSI) 测试对六种已被取消识别的CBF进行了测试.
- 配方奶粉使用三个带有鼻胃管和胃管的料,模拟连续和玻尿酸食方案.
- 计算了计划和实际交付量之间的差异.
主要成果:
- 与计划量相比,中等到极厚的配方 (IDDSI 3-4级) 的交付量中位数减少了22.5% (P < 0.001).
- 与薄型配方相比,厚型配方产品的交付量比薄型配方产品低25.5%,即使遵守制造商关于管子尺寸的指导方针.
- 尽管使用推的管子尺寸,但发生了显著的不足分娩.
结论:
- 较厚的CBF可以导致通过料传递不准确的体积,这可能导致儿童摄入不足的热量和体重增加不足.
- 基于这些发现,建议使用CBF的最佳实践.
- 需要进一步的研究来确定最佳的配方一致性,以最大限度地提高儿科患者的分娩精度和热量摄入量.
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