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基于营养的含义和治疗方法在支气管肺功能障碍症的发展和恢复
Andrea Heras1, Rachel Chambers2, Zenna Solomon1
1Department of Pediatrics, Division of Pediatric Pulmonology, Weill Cornell Medicine, Komansky Children's Hospital, New York, NY, United States.
Seminars in perinatology
|September 29, 2023
概括
对于患有支气管肺功能障碍 (BPD) 的早产婴儿来说,适当的营养至关重要. 早期提供能量,仔细监测液体和量身定制的营养补充剂有助于肺部修复和长期健康结果.
科学领域:
- 新生儿科学 新生儿科学
- 儿童营养学 儿童营养学
- 肺部病理学 肺部病理学
背景情况:
- 支气管肺功能障碍症 (BPD) 是非常早产婴儿常见的慢性肺部疾病.
- BPD可能导致严重的长期健康问题.
- 目前的研究往往侧重于BPD预防,不太重视已确定的病例.
研究的目的:
- 审查营养和生长对BPD的影响.
- 确定管理已建立的BPD的研究缺口.
- 为了指导未来的研究和临床实践.
主要方法:
- 文献综述侧重于BPD的营养策略.
- 对亲肠道和肠道营养中的保护性做法进行分析.
- 营养补充剂的评估及其在BPD管理中的作用.
主要成果:
- 通过腹腔营养和腹腔养,早期提供足够的能量至关重要.
- 母乳比配方奶粉更受青.
- 限制利尿剂和类固醇,同时确保能量输送,是建立BPD的关键.
结论:
- 优化营养对于已确定的BPD的婴儿至关重要.
- 在重症监护后,长度营养支持至关重要.
- 对BPD的营养补充剂需要进一步的研究.
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