在NICU患有缩同步运动的患者中,食功能障碍
Anna Ermarth1, Kristin Brinker2, Betsy Ostrander3
1University of Utah School of Medicine, Salt Lake City, UT, USA; Division of Pediatric Gastroenterology, Hepatology & Nutrition, Department of Pediatrics, USA.
Early human development
|October 24, 2023
概括
新生儿重症监护室 (NICU) 患有脑性麻 (CP) 风险的患者往往需要使用输卵管. 许多人一年后仍然需要它们,特别是那些住院时间较长,口服养延迟的人.
科学领域:
- 新生儿科学 新生儿科学
- 神经发育儿科 神经发育儿科
- 儿科胃肠病学 儿科胃肠病学
背景情况:
- 新生儿重症监护室 (NICU) 的入院与神经发育缺陷,特别是脑 (CP) 的风险增加有关.
- 一般运动评估 (GMA),特别是紧张的同步运动 (CSM),是新生儿CP风险的敏感指标.
- 在高风险新生儿中,食困难很常见,影响生长和长期结果.
研究的目的:
- 评估通过GMA (CSM) 确定患有CP风险的NICU患者在出院时和出院后一年的食结果.
- 为了确定与持续需要鼻胃管 (NGT) 或胃口管 (GT) 相关的临床特征,在出院后的一年.
主要方法:
- 对使用异常GMA (CSM) 查CP风险的NICU患者的回顾性审查.
- 对养结果的分析,包括排放时的NGT/GT依赖性和排放后的一年.
- 临床因素的比较 (住院,口服的百分比,经月经后的年龄,IVH,ELBW,出生体重,妊娠年龄) 在断奶和没有断奶的患者之间.
主要成果:
- 超过75%的确定的高风险患者在出院时需要NGT或GT.
- 57%的人在放电后成功地从NGT/GT中脱胎,而43%的人一年后仍然需要GT.
- 一年后需要GT的患者住院时间明显长,口服养比例较低,月经后离院年龄较大.
- 在NGT/GT使用中,没有发现基于心室内出血 (IVH),极低出生体重 (ELBW),出生体重或妊娠年龄的显著差异.
结论:
- 患有GMA确定的CP风险的NICU患者经常经历持续的输卵管依赖.
- 长时间住院和延迟口服养是持续NGT/GT需要出院后的关键指标.
- 早期识别和通过熟练的养治疗进行干预对于改善这种脆弱人群的结果至关重要.
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