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在怀孕34周以上的新生儿中通过肠道养与中度至重度的出生窒息:一项回顾性观察性研究

Sandeep Jhajra¹, Debasish Nanda², Jagjit Singh Dalal³

¹Assistant Professor, Department of Paediatrics, Manipal-Tata Medical College, Jamshedpur, Jharkhand, India.

Tropical doctor

|May 20, 2024

概括

在中度至重度出生窒息的新生儿中,开始早期的肠道养 (<24小时) 显著减少了完全养的时间. 与延迟养相比,早期养也与较少的不良结果相关.

科学领域:

新生儿科学新生儿科学
儿科胃肠病学儿科胃肠病学
围产儿医学围产儿医学

背景情况:

在中度至重度出生窒息的新生儿中,缺乏启动肠道养的指导方针.
目前关于这个群体的食时间的数据有限.

研究的目的:

调查早期与晚期开始肠道食及时到中度至重度出生窒息的新生儿完全肠道食的影响.
评估养时间和不良次要结果之间的关联.

主要方法:

对怀孕≥34周出生的新生儿病例表的回顾性分析,符合中度至重度出生窒息的标准.
分类为"早期养" (<24小时) 和"晚期养" (≥24小时) 组.
实现全肠养的时间和不良结果发生率的比较.

主要成果:

在早期养组 (53.7±24.8小时) 中,与晚期养组 (95.0±81.1小时) 相比,进入肠道养的平均时间显著缩短.
完全养的平均时间差异为41.3小时 (95%CI:25.7-56.8小时).
在晚期养组中观察到较高的不良次要结果发生率.

结论:

在中度至重度出生窒息的新生儿中,早期启动肠道养 (<24小时) 似乎可以加速实现全肠道养.
推迟肠道养 (≥24小时) 可能与这种脆弱人群中不良结果的风险增加有关.

关键词:

出生的窒息窒息症.社区健康社区健康进口料是用进口料进行的.

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