需要胃口管在周围婴儿的需要
Erica E ElSeed Peterson1, Jared T Roeckner2, Taylor W Deall1
1Division of Neonatology, Department of Pediatrics, University of South Florida, Morsani College of Medicine, Tampa, Florida.
American journal of perinatology
|March 21, 2024
概括
黑人种族,单子妊娠和支气管肺形 (BPD) 增加了可食婴儿胃口管的需要. 这些发现突出了差异,并需要进一步研究早产婴儿的养结果.
科学领域:
- 新生儿科学 新生儿科学
- 围产儿医学 围产儿医学
- 儿科胃肠病学 儿科胃肠病学
背景情况:
- 经期婴儿 (怀孕22-25周) 面临重大挑战,包括食困难.
- 胃口管 (g-tube) 放置是这种人群中营养支持的常见干预措施.
- 了解与g-tube需求相关的因素对于优化护理和结果至关重要.
研究的目的:
- 确定与可食婴儿胃口管 (g-tube) 放置相关的临床和人口因素.
- 调查母亲的种族,妊娠因素和新生儿发病率与g-tube需求之间的关系.
主要方法:
- 进行了一项单中心回顾性队列研究.
- 包括22到25周怀孕期间活生生的婴儿.
- 不包括未经积极复苏的婴儿或具有先天异常的婴儿.
主要成果:
- 在243名婴儿中,158名婴儿存活到出院,其中35名需要g-tube安置.
- 母亲黑人种族 (OR=2.88),单子妊娠 (OR=3.99) 和支气管肺功能障碍症 (BPD) 与g-tube需要显著相关.
- 严重的腹腔内出血与增加的死亡率或g-tube放置有关.
结论:
- 幸存下来的可食用婴儿中有很大一部分需要g-tube安置.
- 母亲黑人种族,单独怀孕和BPD是这个队列中g管需要的关键风险因素.
- 需要进一步的研究来解决种族差异,并改善早产婴儿口服养的成功.
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