躺姿对早产婴儿胃残留体积的影响:系统性审查
Hande Özgörü1, Birsen Mutlu2, Zeynep Erkut3
1Doctorate Program, Institute of Graduate Studies, Istanbul University-Cerrahpaşa, Istanbul, Turkey.
概括
婴儿的位置会影响早产新生儿的胃残留体积. 右侧和倾斜的位置显示了最少的胃残留体积,而左侧和仰卧的位置显示了更多.
科学领域:
- 新生儿护理 新生儿护理
- 胃肠病学 胃肠病学
背景情况:
- 胃残留体积 (GRV) 是早产婴儿食耐受性的关键指标.
- 婴儿的位置是影响GRV的潜在可修改因素.
研究的目的:
- 系统地审查不同躺姿对接受胃管养的早产新生儿胃残留体积的影响.
主要方法:
- 2011-2022年间发表的随机对照或准实验性研究的系统审查.
- 使用PICOS策略搜索多个电子数据库.
- 包括10项具有不同质量的证据 (差到好) 的研究.
主要成果:
- 胃残留体积在右侧和倾斜的位置是最低的.
- 在左侧和仰卧位置观察到更高的胃残留体积.
- 在左侧和仰卧位置之间没有发现显著差异.
结论:
- 婴儿的位置显著影响了早产新生儿的胃残留体积.
- 右侧和倾斜的位置可能有利于减少GRV.
- 需要进一步的高质量研究来评估所有立场,以建立明确的证据.
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