预产前异常动脉多普勒概况的早产新生儿的食结果:回顾性队列研究
Deepika Kainth1, Purna Chandra1, Akash Singhal1
1Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Indian journal of pediatrics
|November 3, 2023
概括
近一半的早产新生儿缺席或逆转的动脉终端-透气流 (AREDF) 经历食不耐受. 孕期是一个关键的预测因素,突出了替代养策略的需要.
科学领域:
- 新生儿医学 新生儿医学
- 围产期生理学 围产期生理学
- 临床营养学 临床营养学
背景情况:
- 缺席或逆转的动脉终端透析流 (AREDF) 与新生儿并发症风险增加有关.
- 过早出生的新生儿经常面临营养挑战,影响生长和发育.
研究的目的:
- 为了确定早产新生儿与AREDF的料不耐受症的发生率.
- 为了确定这种脆弱人群中料不耐受性的预测因素.
主要方法:
- 对213名早产新生儿进行了AREDF的回顾性研究 (2017年1月-2022年5月).
- 分析临床数据,包括妊娠年龄,出生体重和养结果.
- 多变量回归以确定料不耐受性的独立预测因素.
主要成果:
- 在48.4%患有AREDF的新生儿中,出现了食不耐受.
- 死性肠球炎 (NEC) 发生在5.6%的病例中.
- 较低的妊娠年龄是对料不耐受性的唯一独立预测因素 (或每周下降1.48至36周以下).
结论:
- 在患有AREDF的早产新生儿中,近50%的新生儿会产生料不耐受性.
- 妊娠年龄是影响这些婴儿食耐受性的关键因素.
- 探索替代养策略对于优化AREDF新生儿的营养至关重要.
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