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一项回顾性研究评估了在比利时新生儿重症监护病房新生儿亲肠营养指南的遵守情况

Truc-Doan Nguyen¹, Garmt Meers², Pieter-Jan Cortoos^2,3

¹Department of Neonatology, University Hospital Brussels, Brussels, BEL.

|April 22, 2024

概括

对于早产和重症新生儿的腹腔营养 (PN) 通常超过氨基酸建议. 调整氨基酸输送是必要的,以符合欧洲儿科胃肠病学,肝病学和营养学会 (ESPGHAN) 2018年指导方针.

科学领域:

新生儿科学新生儿科学
临床营养学临床营养学
儿科胃肠病学儿科胃肠病学

背景情况:

对于早产和重症新生儿的腹腔营养 (PN) 具有挑战性,因为血液动力学和代谢的妥协.
达到推的营养摄入量是很困难的,由于逐渐增加肠道营养 (EN) 而复杂化.
关于在临床实践中遵守2018年欧洲儿科胃肠道病学,肝病学和营养学会 (ESPGHAN) PN指南的数据有限.

研究的目的:

务实地评估ESPGHAN 2018年新生儿宏观营养素和能量PN指南的遵守情况.
分析新生儿重症监护室在生命的第一周内提供PN的情况.
根据指导方针的合规性,确定PN协议的改进领域.

主要方法:

在早产和重病期新生儿营养的回顾性分析.
在生命的第一个星期评估PN大营养素和能量摄入量.
与ESPGHAN 2018建议相比,PN提供的描述性分析.

主要成果:

宏观营养素和能量供应在第一周增加,达到目标值.
过早出生的新生儿在能量和脂质供应方面表现出较快的增长,而不是长期出生的新生儿.
在受研究的人群中,氨基酸供应超过了ESPGHAN 2018年推.

结论:

临床实践数据对ESPGHAN 2018 PN指南的遵守情况很少.
该研究发现,需要减少每天每公斤体重的氨基酸输送量.
调整PN协议可以帮助满足ESPGHAN 2018新生儿营养建议.

关键词:

准则的坚持准则的坚持婴儿婴儿婴儿婴儿新生儿新生儿的新生儿亲肠营养亲肠营养练习模式实践模式过早出生过早出生

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