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儿科创伤患者的输出管术后消化不良:单中心病例系列研究研究
Naoki Yogo1, Takeru Abe2, Kyoko Kano3
1Department of Pediatric Emergency and Critical Care Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Ngamineminami Higashi-ku, Kumamoto, 861-8520, Japan. naoki.y0715@gmail.com.
Scientific reports
|February 12, 2024
概括
长时间的机械通风和严重的头部伤害增加了儿科创伤患者食障碍的风险. 这些因素的早期识别有助于规划语言治疗和营养支持.
科学领域:
- 儿科重症监护 儿科重症监护
- 创伤外科 手术 创伤外科
- 语音语言病理学 语音语言病理学
背景情况:
- 接受气管管道输液的儿科创伤患者有风险出现输出管道后并发症.
- 吞障碍 - - 吞障碍 - - 可以显著影响这一群体的康复和长期结果.
研究的目的:
- 调查呼吸器支持续时间与儿科创伤患者食障碍发生率之间的关联.
- 在儿科创伤幸存者中识别输出管术后食障碍的危险因素.
主要方法:
- 一个案例系列研究分析了小儿创伤患者 (<16岁) 的数据,这些患者接受了气管管道输液.
- 患者的分类是基于在输出管后72小时内出现的消化不良.
- 伤害严重程度 (简称伤害量表),呼吸器支时间和住院时间的数据在各组之间进行了比较.
主要成果:
- 在分析的53名患者中,22名患者患有输出管后食障碍,通常与头部创伤有关.
- 不消化症组表现出更严重的头部伤害 (AIS 4 [4-5]与4 [0-4],p<0.05).
- 较长的呼吸器支持 (7天[4-11]对比1天[1-2.5],p<0.05) 和住院 (27天 [18.0-40.3]对比11天[10.0-21.0],p<0.05) 在患有失消症的患者中观察到.
结论:
- 严重的头部创伤和长时间的机械通风是儿科创伤患者缺食症的重要危险因素.
- 早期识别这些风险因素对于及时干预至关重要.
- 这有助于量身定制的治疗计划,包括语音语言病理学服务和营养支持策略.
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