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在严重的先天性隔膜中营养平衡的重要性:一个回顾性病例控制研究
Masahiro Zenitani1, Yoshiyuki Shimizu2, Masayuki Yoshida1
1Department of Pediatric Surgery, Osaka Women's and Children's Hospital, Izumi, Osaka, Japan.
Clinical nutrition ESPEN
|September 22, 2023
概括
早期的肠道营养 (EN) 和足够的脂质摄入,通过鼻十二指管 (ND) 替换促进,促进严重先天性隔膜 (CDH) 的婴儿的追赶增长.
科学领域:
- 儿科手术 儿科手术
- 新生儿科学 新生儿科学
- 营养科学 营养科学
背景情况:
- 严重的先天性隔膜 (CDH) 经常导致婴儿的生长迟缓.
- 这些婴儿的最佳营养策略对于改善结果至关重要.
研究的目的:
- 为了确定严重的CDH患者在婴儿期早期适当的营养和营养平衡.
- 为了确定与成功的早期增长相关的因素在这个人群.
主要方法:
- 单独的CDH患者 (2006-2022) 的回顾性病例控制研究.
- 患者被分为积极或消极的体重增加速度组 (1-3个月).
- 组间临床变量和营养摄入量的比较.
主要成果:
- 较早的肠道营养 (EN) 开始和更高的鼻十二指管 (ND) 替换率与积极的体重增加有关.
- 体重增加的婴儿在1个月后总热量,蛋白质和脂质显著增加.
- 阳性组在2个月和3个月后观察到更高的热量摄入量,特别是脂质.
结论:
- 早期的EN启动,可能通过及时更换ND管子来实现,支持追赶增长.
- 适当的脂质管理似乎对于促进严重CDH的婴儿的生长至关重要.
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