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在儿科炎症性肠病的环境中进行外科营养
Jonathan Wong1, John Densmore2, Julia Hilbrands3
1Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA.
对儿科炎性肠病 (IBD) 手术患者的外科营养支持至关重要. 尽管持续营养不良,但补充营养的使用在手术后减少,这突显了需要专门的儿科IBD营养方案的需要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 手术营养是指手术营养.
- 炎症性肠病 (IBD) 管理管理
背景情况:
- 在手术前优化营养可以改善患有炎症性肠病 (IBD) 的儿科患者的治疗结果.
- 在为IBD进行肠切除的儿童中,术后营养状况和管理需要评估.
研究的目的:
- 评估为IBD进行肠切除的儿科患者的术后营养状况.
- 评估为这些患者提供营养的方法.
主要方法:
- 对接受初级肠切除的儿科IBD患者的回顾性分析.
- 使用已确定的标准识别营养不良.
- 供应营养的文件 (手术前,入院,术后) 用于可选和紧急情况下.
- 记录手术后并发症的情况.
主要成果:
- 在84名儿科IBD患者 (平均年龄14.5岁) 中,40%在手术前营养不良.
- 营养不良的患病率在急诊 (48%) 和选择性 (36%) 手术队伍中相似.
- 手术后,BMI z分数有所改善,但营养不良的患病率保持不变 (40%).
- 补充营养的使用率从手术前的34%下降到手术后的17%.
- 并发症与营养状况无关.
结论:
- 手术后,补充营养的使用率下降,尽管营养不良率没有变化.
- 这些发现支持为IBD手术开发一个儿科特定的术后营养方案.
- 标准化的营养管理对于改善儿科IBD手术患者的治疗结果至关重要.
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