一个专门的多学科生长和养诊所为婴儿与裂口唇和/或 palates 证明需要干预的需要
Kayla Prezelski1,2, Daniel Villarreal Acha1, Tuong-Vi Cindy Ngo1
1Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
概括
在成长和养诊所 (GFC) 早期干预唇口裂口 (CL/P) 的婴儿改善了营养状况. 这种多学科的方法使正常体重患者在裂唇修复手术前的比率翻了一番.
科学领域:
- 儿科外科手术 儿科外科手术
- 营养科学 营养科学
- 头骨脸部异常情况
背景情况:
- 患有裂唇和/或 palatal (CL/P) 的婴儿经常面临食困难,影响营养状况.
- 早期干预对于优化这些患者的生长和发育至关重要.
研究的目的:
- 评估由生长和养诊所 (GFC) 提供的手术前养干预措施的有效性.
- 评估GFC在手术修复前对CL/P婴儿的营养状况的影响.
主要方法:
- 一个生长和养诊所 (GFC) 已实施,用于早期干预CL/P患者的养例程.
- 由GFC管理的CL/P患者队列与对照组进行了比较.
- 体重相对年龄 (WFA) Z-score小于-2.00 在手术前定义体重不足状态.
主要成果:
- 在GFC和对照组中,25%的患者在手术前体重不足.
- 体重不足的GFC患者接受了更多的诊所访问和干预 (P<.001).
- 64.1%的体重不足的GFC患者通过裂唇修复达到正常体重,而对照组的31.8% (P=.0187).
结论:
- 多学科GFC护理有效地针对高风险患者进行营养干预.
- 在裂唇修复之前,GFC显著增加了正常体重患者的比例.
- 这些发现支持多学科团队护理的价值,以改善CL/P婴儿的治疗结果.
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