靠气管切除术治疗的婴儿的食结果 - - 我们能预测未来的胃管切除术使用情况吗?
Harley Williams1, Ayushi Bhatt1, Agnieszka Dzioba2
1Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
International journal of pediatric otorhinolaryngology
|January 31, 2024
概括
大多数需要气管切除的婴儿都需要通过胃口管获得营养支持. 同时安置并不常见,但可能会减少麻醉剂的暴露和住院时间.
科学领域:
- 儿科外科手术 儿科外科手术
- 新生儿科学 新生儿科学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 需要气管切除术的婴儿经常面临养困难.
- 预测胃口管 (GT) 插入的需要对于最佳护理至关重要.
研究的目的:
- 为了确定预先手术的因素,预测在接受气管切除术的婴儿中使用胃口管.
- 为了确定胃口管的插入是否可以安全地与气管口腔管的放置协调.
主要方法:
- 对73名接受气管切除术的婴儿 (出生至18个月) 的回顾性评估.
- 对手术前特征的分析,以预测未来的胃口管使用情况.
- 养结果的单变量和多变量分析.
主要成果:
- 75.4%的婴儿需要胃口管.
- 出生并发症,神经学诊断,并发症和吸收风险预测胃口管需要 (p <0.05).
- 只有13.5%的胃口管与气管切除同时放置.
结论:
- 大多数需要气管切除术的婴儿需要营养支持.
- 同时进行气管切除术和胃口切除术是不常见的,但有潜在的好处.
- 协调安置可以减少麻醉剂的暴露,住院和成本.
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