在印度新生儿学从业人员中,极端早产新生儿的液体和腹腔营养实践:基于Web的调查
Arunambika Chinnappan1, Tanushree Sahoo1, Pankaj Mohanty1
1Department of Neonatology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Indian pediatrics
|February 7, 2024
概括
大多数印度新生儿科医生在体重为750-1000克的早产婴儿的初始流体速率为80毫升/千克/天. 流体速率根据显著的体重减轻情况进行调整,突出显示需要量身定制的临床指导方针.
科学领域:
- 新生儿科学 新生儿科学
- 儿科重症监护 儿科重症监护
- 新生儿营养新生儿营养
背景情况:
- 对于极度早产的新生儿来说,液体和肠外营养至关重要.
- 印度目前对这些婴儿的做法没有得到充分的记录.
- 照顾的变化可能会影响脆弱新生儿的结果.
研究的目的:
- 调查当前的液体和肠外营养实践.
- 了解印度新生儿科医生使用的初始流体速率和调整策略.
- 确定是否需要标准化临床指导方针.
主要方法:
- 一项在线调查分发给印度各地的新生儿学从业人员.
- 收集和分析了123个回复.
- 数据集中在初始流体速率和减肥管理上.
主要成果:
- 67%的新生儿医生更喜欢初始流体速率为80毫升/公斤/天,对于体重为750-1000克的新生儿.
- 50%的从业者在每日减肥超过2%时增加了流体速率.
- 在不同环境中观察到实践的显著差异.
结论:
- 印度目前对极度早产新生儿的流体和肠外营养实践显示出相当大的差异.
- 需要基于证据的,特定条件的指导方针来规范护理.
- 进一步的研究可能有助于制定量身定制的临床方案.
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