婴儿出生时体重非常低的婴儿接受的肠道食比所规定的要少
Lotta Immeli1, Pauliina M Mäkelä1, Markus Leskinen1
1Pediatric Research Center, Children's Hospital, University of Helsinki, Helsinki University Hospital, Helsinki, Finland.
对于非常低出生体重 (VLBW) 婴儿的肠道养通常不会按照规定进行. 这种偏离建议可能会显著导致这些易受伤害的新生儿进食进展缓慢.
科学领域:
- 新生儿科学 新生儿科学
- 儿童营养学 儿童营养学
- 临床实施科学 临床实施科学
背景情况:
- 食非常低出生体重 (VLBW) 婴儿 (<1500g) 提出了重大的临床挑战.
- 优化肠道养对于VLBW婴儿的生长和发育至关重要.
研究的目的:
- 调查VLBW婴儿遵守规定的肠道养方案.
- 在这个人群中确定与延迟肠道养进展相关的因素.
主要方法:
- 在怀孕32周之前出生的516名VLBW婴儿的回顾性队列研究 (2005-2013).
- 从出生到14-28天的寿命收集的营养数据.
- 分析影响肠道养实施和进展的因素.
主要成果:
- 肠道食的进展比推的要慢,与处方剂量有显著偏差,特别是在肠道食期间.
- 与进展缓慢相关的因素包括更高的胃残留体积,便延迟通过,长时间使用阿片类药物,专利性动脉管和呼吸困扰综合征.
结论:
- 在VLBW婴儿的肠道养经常不按照规定的指导方针进行.
- 不遵守养方案可能是导致VLBW婴儿肠道养进展缓慢的关键因素.
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