营养策略,以优化与先天性心脏病的婴儿的结果
Audrey N Miller1, Angelo Naples2
1Division of Neonatology, Department of Pediatrics, Ohio State University, Nationwide Children's Hospital, Columbus, OH.
NeoReviews
|July 31, 2023
概括
患有先天性心脏病 (CHD) 的婴儿通常由于复杂因素而经历生长衰竭. 标准化养方案可以显著改善这些脆弱的婴儿的生长和结果.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 新生儿科学 新生儿科学
- 临床营养学 临床营养学
背景情况:
- 发育不良会影响大约一半患有先天性心脏病 (CHD) 的婴儿.
- 复杂的心脏和非心脏因素影响这些婴儿的能量消耗和营养摄入量.
- 发育不良与不良结果有关,包括死亡率和发育迟缓.
研究的目的:
- 突出管理患有心脏病的婴儿营养方面的挑战.
- 为了解决临床实践中关于肠道养的广泛差异.
- 强调标准化养方案的好处.
主要方法:
- 审查当前的临床实践和现有指导方针营养管理的婴儿心脏病.
- 对导致这一群体生长失败的因素的分析.
- 评估标准化养方案对生长和结果的影响.
主要成果:
- 在肠道养策略 (启动,推进,停止) 中存在显著差异.
- 现有的实践指南还没有完全规范营养护理.
- 标准化养方案在减少生长失败方面表现出有效性.
结论:
- 采用标准化的养方案对于改善心脏病婴儿的生长至关重要.
- 临床医生和机构应实施基于证据的指导方针,以优化营养护理.
- 改善营养管理可以导致更好的临床结果和减少并发症.
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