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在非常早产的新生儿中,通过胃路径与口腔路径进行玻尿酸养
Rita P Verma1, Deepank Sahni2, Joshua Fogel3
1Nassau University Medical Center, East Meadow, NY 11554, NYC Health+ Hospitals/South Brooklyn Hospital, Coney Island, NY 11235.
乳头瓶养,而不是肉囊或胃管养,可以加速生长,并减少非常早产新生儿的住院治疗. 早期开始乳头养可能对稳定的婴儿是安全的,而抗生素可以延长住院时间.
科学领域:
- 新生儿科学 新生儿科学
- 儿童营养学 儿童营养学
- 增长和发展 增长和发展
背景情况:
- 研究在妊娠28-33周之间出生的非常早产新生儿 (VPN) 的养方法.
- 比较玻尿酸或胃管 (BOG) 和乳头瓶 (N) 养对产后生长的影响.
研究的目的:
- 确定BOG和N养与VPN产后生长结果的关联.
- 评估养方法及时到完全肠道营养,体重增加和住院时间的效果.
主要方法:
- 在127个VPN中对临床和养变量的回顾性分析.
- 多变量回归和相关性分析,以评估养方法和结果之间的关联.
- 关键的结果包括到达全肠营养 (FEN) 的时间,体重达到2200g (Wt22) 和住院时间 (LOH).
主要成果:
- FEN与妊娠年龄和LOH负相关,而Wt22与出生体重负相关.
- FEN与需要静脉注射营养的日期和乳头养的时间正相关.
- LOH与抗生素持续时间和乳头养时间相关;Wt22与乳头养时间相关.
- 牛肉养开始日没有显示独立的关联,但与Wt22,LOH和FEN有微弱的正相关性.
结论:
- 玻尿管或胃管养单独并不会独立影响成长,住院,或在VPN中获得全肠营养的时间.
- 乳头瓶养加快了追赶生长,充分的肠道营养,并减少了住院时间.
- 在月经后32周左右开始乳头养似乎对稳定的VPN来说是安全的;抗生素增加了住院治疗.
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