越南国家关于早产新生儿肠道营养实践的调查:实践状态,障碍和影响
Thu Tinh Nguyen1,2,3, Phan Minh Nhat Nguyen1,2, Thanh Thien Nguyen2
1Department of Pediatrics, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VNM.
Cureus
|May 28, 2024
概括
越南早产婴儿的亲肠道营养 (PN) 实践显示出显著的差异. 可修改的障碍,如缺乏标准化的协议和资源,阻碍了最佳营养,需要改进监测和数据跟踪.
科学领域:
- 新生儿医学 新生儿医学
- 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:
- 过早出生的婴儿通常需要通过肠道营养 (PN),因为食不耐受.
- 越南等低收入至中等收入国家的临床PN实践及其障碍的数据很少.
- 本研究调查了越南新生儿单位的PN实践和障碍,以改善婴儿营养.
研究的目的:
- 评估越南早产婴儿亲肠道营养 (PN) 实践的现状.
- 确定影响新生儿护理单位PN启动和管理的障碍.
- 为提高早产婴儿的营养结果提供见解.
主要方法:
- 进行了一项多中心,全国性的基于网络的调查.
- 该调查包括越南55个省份的104个新生儿单位.
- 收集的数据涵盖了PN启动时间,营养剂量 (氨基酸,脂质,葡萄糖) 和报告的障碍.
主要成果:
- 在大多数单位,亲肠道营养 (PN) 早期启动 (80.8%在1小时内).
- 早期提供氨基酸 (85%) 和脂质 (82%) 是常见的,但剂量不同.
- 关键的障碍包括难以输液接入,缺乏协议以及脂质/微量营养素的短缺.
结论:
- 越南早产婴儿的亲肠道营养 (PN) 实践非常多样.
- 对最佳PN的已识别的障碍在很大程度上是可以修改的.
- 建议越南建立营养实践监测网络和结果数据库.
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