双边交流:肠道营养 儿科手术患者的临床决策
Manisha B Bhatia1, Cassandra M Anderson2, Abdiwahab N Hussein3
1Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.
The Journal of surgical research
|November 26, 2023
概括
早期的肠道营养是儿科手术恢复的关键. 这项研究比较了肯尼亚和美国的营养实践,发现美国的启动速度更快,但新生儿的结果类似,表明需要量身定制的方案.
科学领域:
- 儿科手术 儿科手术
- 临床营养学 临床营养学
- 基于证据的医学基于证据的医学.
背景情况:
- 传统的术后营养进步遵循一个教条式的进步 (清洁液体到常规饮食).
- 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善
- 了解当前的儿科术后营养实践对于协议开发至关重要.
研究的目的:
- 调查和比较肯尼亚和美国的术后儿科营养实践.
- 识别肠道营养开始和进步的时间上的差异.
- 为儿童手术患者制定基于证据的营养方案提供信息.
主要方法:
- 关于儿科外科研究员实践的前性观察性研究.
- 从肯尼亚 (S4A) 和美国 (Riley) 的转诊中心收集了75名儿科患者的数据.
- 观察包括患者人口统计,手术细节和从术后第一天到出院或30日的每日营养状况.
主要成果:
- 与肯尼亚 (S4A) 相比,美国 (Riley) 患者的启动和全肠营养的中位时间较短.
- 肯尼亚患者更年轻,其中40%是新生儿.
- 在新生儿小组中,早些时候在肯尼亚进行EN启动 (S4A) 并没有显著改变住院时间.
结论:
- 当前的营养实践可以指导早期肠道营养方案的开发.
- 实施早期的EN协议,特别是当替代方案有限时,可以挑战教条主义的方法.
- 在资源有限的环境中研究协议实施可能会揭示患者的额外好处,特别是关于逗留时间和社会经济因素.
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