家庭肠道营养在营养支持的第一年期间不会减少儿童的口服养
L Zambelli1, M Aumar2, D Ley2
1Univ. Lille, Department of Pediatric Gastroenterology, Hepatology and Nutrition, CHU Lille, Inserm U1286 INFINITE, Lille, France; Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Liège University Hospital, Liège, Belgium.
Clinical nutrition (Edinburgh, Scotland)
|February 10, 2024
概括
肠道营养在第一年内不会显著改变儿科口服养. 施用方法,如连续或玻尿酸食,可能会影响口服摄入的发展.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 临床营养学 临床营养学
- 儿童健康 儿童健康
背景情况:
- 肠道营养对于营养状况不佳和口服摄入不足的儿童至关重要.
- 肠道营养对儿科患者自发口服养的影响仍未得到充分研究.
- 这项研究解决了了解肠道营养如何影响儿童口服摄入量的差距.
研究的目的:
- 在开始肠道营养后,评估儿科患者口服食摄入量的变化.
- 确定影响口服养变化的特定因素.
- 评估肠道营养对儿童口服摄入的长期影响.
主要方法:
- 在2009-2022年期间,对149名接受家庭肠道营养的儿科患者进行了回顾性队列研究.
- 口服和肠道摄入量在基线 (M0) 和3,6,12个月 (M3,M6,M12) 随访时进行评估.
- 线性混合回归模型被用来分析口服养和BMIz-score随时间变化的变化.
主要成果:
- 在第一年,口服摄入量保持稳定,平均约为每日推摄入量的47%.
- 诸如分娩方式 (鼻胃 vs 胃口),早产,潜在疾病,子宫内生长迟缓和语音治疗等因素并没有显著影响口服摄入量.
- 给药方式 (连续夜间与白天玻尿酸) 显示出对口服开发的潜在影响.
结论:
- 肠道营养支持总能量摄入,而不会对第一年使用的口服养产生负面影响.
- 肠道营养的施用方法是可能影响口服摄入模式的关键因素.
- 研究结果表明,虽然肠道支至关重要,但仔细考虑施用技术对于优化儿童口服养至关重要.
相关概念视频
01:26Enteral Nutrition I: Orogastric and Nasogastric Feeding
284
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
284
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
138
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
138
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
158
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
158
01:29Documentation in Long-Term and Home Healthcare Setting
892
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
892
01:25Role of Communication in the Nursing Process II: Planning and Implementation
1.8K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.8K
01:16Psychosexual Stages of Personality: Oral
739
The oral stage is the initial phase of Sigmund Freud's theory of psychosexual development, occurring from birth to approximately 12 to 18 months. During this period, the infant's mouth serves as the primary source of pleasure, with actions such as sucking, chewing, biting, and drinking playing a crucial role in reducing tension. These activities are essential not only for nourishment but also for the infant's psychological and emotional satisfaction.
Weaning, typically occurring...
Weaning, typically occurring...
739