在早产婴儿中进行常规胃吸管的护理实践及其与死角性肠球炎的联系:这种实践是否仍然具有临床意义?
Osama Mohamed Elsayed Ramadan1, Majed Mowanes Alruwaili2, Abeer Nuwayfi Alruwaili3
1College of Nursing, Jouf University, Sakaka, Saudi Arabia, 72388. omramadan@ju.edu.sa.
在早产婴儿中,常规的胃吸收并不能预防死角性肠球炎 (NEC). 这项研究发现,在接受胃吸血和未接受胃吸血的婴儿之间,NEC发病率或严重程度没有显著差异.
科学领域:
- 新生儿医学 新生儿医学
- 护理研究 护理研究
- 胃肠病学 胃肠病学
背景情况:
- 在早产婴儿中,常规的胃残留吸收是一种常见的做法,但其在预防死角性肠球炎 (NEC) 的有效性仍有争议.
- 护士是执行胃吸收的关键,需要基于证据的实践指南.
研究的目的:
- 评估胃吸附在减少早产婴儿NEC风险和严重性的临床相关性.
- 在新生儿重症监护室 (NICU) 中,为护理实践提供有关胃吸收的信息.
主要方法:
- 一项涉及250名早产婴儿的准实验性研究,在埃及的两个NICU中进行.
- 婴儿被分为两个组:胃吸入 (n=125) 和非吸入 (n=125).
- 养做法,胃残留物,NEC发病率/严重程度 (修改的贝尔标准) 和风险因素 (多变量回归) 的比较.
主要成果:
- 两组之间没有观察到显著的基线差异.
- 胃残留特征和养结果没有显著差异.
- 总体NEC发病率为14-15%,在发病或进展方面没有显著差异.
- 较低的妊娠年龄和出生体重被确定为NEC的更强有力的预测因素.
结论:
- 常规的胃吸收似乎不能直接预防或减少早产婴儿中NEC的严重程度.
- 虽然胃残留物仍然具有临床意义,但这项研究质疑了吸入能防止NEC的假设.
- 这些发现支持基于证据的养方案的发展,重点关注NEC可修改的风险因素.
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