在婴儿呼吸道阻塞下下分心后的养结果
Amber Yi1, William T Brand2, Jonathan S Black3
1University of Virginia School of Medicine, Charlottesville, VA.
The Journal of craniofacial surgery
|July 11, 2023
概括
部分心骨质生成改善了Robin序列的婴儿的呼吸道阻塞. 大多数婴儿在手术后获得了全口服养,并增加了体重,尽管有些婴儿最初需要养支持.
科学领域:
- 儿科手术 儿科手术
- 面外科手术 面外科手术
- 新生儿护理 新生儿护理
背景情况:
- 罗宾序列带来了重大挑战,包括气道阻塞和食困难.
- 部干扰骨质生成 (MDO) 是一种手术干预,用于改善这些婴儿的呼吸道.
- 关于MDO对婴儿养结果和体重增加的影响的数据有限.
研究的目的:
- 为了评估Robin序列的婴儿的食结果,在MDO之后进行气道纠正.
- 评估MDO手术后的体重增加和需要营养支持的需要.
主要方法:
- 在2015年12月至2021年7月期间接受MDO的12个月以下婴儿的回顾性图表审查.
- 收集的数据包括口腔裂的存在,分心距离,多睡眠学结果和养状态.
- 主要结局:分心的时间长度,排泄时需要输管养,完全口服养的时间,体重增加.
主要成果:
- 十分之八的婴儿获得了全口服养,平均时间为65.6天.
- 所有婴儿都显示了手术后的体重增加 (平均0.521公斤/月),完全口服养的婴儿体重增加更多.
- 术后呼吸暂停-呼吸暂停指数显著改善,这表明成功管理了呼吸道.
结论:
- 在改善呼吸道阻塞和促进罗宾序列婴儿体重增加方面,MDO是有效的.
- 虽然大多数婴儿过渡到口服养,但有些人需要暂时的营养支持.
- 需要进行进一步的研究,以优化接受MDO的婴儿的食策略和护理.
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