在急性护理心脏病科的急性护理心脏病科的婴儿患有血和死性肠球炎的养实践
Kelsey Palm1, Amiee Trauth2, Zhiqian Gao3
1Children's Hospital of Philadelphia, Philadelphia, PA, USA. kelseyjpalm@gmail.com.
Pediatric cardiology
|February 15, 2024
概括
患有先天性心脏病 (CHD) 的婴儿有较高的死角性肠球炎 (NEC) 风险. 养习惯,特别是皮洛里克后养和更高的热量密度,可能会增加这些易受伤害的婴儿的NEC风险.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 新生儿心脏病学 新生儿心脏病学
- 临床营养学 临床营养学
背景情况:
- 患有先天性心脏病 (CHD) 的婴儿面临良性血和死性肠球炎 (NEC) 的风险.
- 有限的研究存在于可修改的风险因素,特别是养做法,影响心脏病婴儿的NEC发展.
- 了解与较高NEC发病率相关的养做法对于临床管理至关重要.
研究的目的:
- 评估三个三级中心中患有心脏病的婴儿的食做法.
- 建立特定养实践与NEC的发展之间的关系.
- 确定可能减轻该种群中NEC风险的养策略.
主要方法:
- 一个多中心的追溯审查在婴儿 (<6个月) 患有心脏病的血液乱事件期间的养做法.
- 收集的数据包括年龄,体重,心室形态,诊断,养路线,料变化和配方类型.
- NEC被定义为贝尔斯阶段2或更高;在121名患者中分析了176例血事件.
主要成果:
- 28%的血病事件是真正的NEC; 72%是良性的.
- 单心室 (SV) 生理学,年轻年龄 (<45天) 和后皮洛里克养路线与NEC有显著的关联.
- 配方类型和最近的料变化与NEC无关;较高热量密度的料显示出近乎显著的关联.
结论:
- 患有心血管疾病的婴儿中大多数血事件都是良性的.
- 在SV婴儿,较小的婴儿和接受后皮洛里克料的婴儿中,需要提高对NEC的认识.
- 需要进一步的研究来证实高热量密度料在NEC发展中的作用.
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