与罗宾序列患者的食和生长相关的非手术呼吸系统管理;一个前性的纵向研究
Pleun P J M van der Plas1, Gwen G M van Heesch2, Maarten J Koudstaal1
1Department of Oral and Maxillofacial Surgery, Sophia Children's Hospital - Erasmus Medical Center, Rotterdam, The Netherlands.
概括
非手术管理改善了罗宾序列 (RS) 婴儿的呼吸. 然而,食困难和体重增加障碍仍然存在,这凸显了早期干预以支持生长的必要性.
科学领域:
- 儿科肺病学 儿科肺病学
- 新生儿护理 新生儿护理
- 临床结果研究研究
背景情况:
- 罗宾序列 (RS) 在呼吸道管理,养和婴儿时期的生长方面提出了重大挑战.
- 有效的非手术干预对于优化RS婴儿的治疗结果至关重要.
研究的目的:
- 评估使用罗宾序列的婴儿非手术呼吸系统管理的临床结果.
- 评估对呼吸道,养和生长在生命的第一年的影响.
主要方法:
- 在2011年至2021年期间接受罗宾序列治疗的36名婴儿的前性研究.
- 干预措施包括定位治疗和呼吸支持.
- 通过多睡眠学测量结果,血液气体值,食要求和体重/身高标准偏差分数 (SDS).
主要成果:
- 呼吸系统的结果有所改善,呼吸暂停-呼吸暂停指数降低,氧气水平提高.
- 86%的婴儿经历了食困难,在71%的婴儿中,在第一年内解决了.
- 体重与年龄相比的SDS在1岁时从-0.40恶化到-1.03.
结论:
- 非手术呼吸道治疗有效地改善RS的婴儿的呼吸功能.
- 持续的食困难和体重增加障碍需要早期识别和治疗.
- 优化生长需要一个综合的方法,解决呼吸和营养需求.
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