重新养与丢弃胃残留物以改善早产婴儿的生长
Thangaraj Abiramalatha1,2, Sivam Thanigainathan3, Viraraghavan Vadakkencherry Ramaswamy4
1Neonatology, Kovai Medical Center and Hospital (KMCH), Coimbatore, Tamil Nadu, India.
The Cochrane database of systematic reviews
|June 30, 2023
概括
在早产婴儿中重新食胃残留物对关键结果几乎没有影响,例如死性肠球炎和死亡率. 需要更多的研究来证实这种做法在新生儿重症监护室的安全性和有效性.
科学领域:
- 新生儿科学 新生儿科学
- 儿科胃肠病学 儿科胃肠病学
- 临床营养学 临床营养学
背景情况:
- 在新生儿重症监护室 (NICU) 常规监测胃残留物,以指导早产婴儿的肠道养.
- 关于是否重新养或丢弃吸入的胃残留物,没有共识.
- 重新养可以通过替代营养物质和促进胃肠道成熟而带来好处,但异常的残留物会带来诸如死性肠球炎等风险.
结论:
- 一项小型试验的有限数据表明,重新食胃残留物对早产婴儿的临床结果的影响很小.
- 目前的证据的确定性很低,强调需要更大,高质量的RCT.
- 进一步的研究是必不可少的,以建立最终的指导方针来管理早产婴儿的胃残留物.
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