在单心室心脏缺陷的婴儿中使用饥饿诱导方法进行结构化输液管断奶:一个多中心研究
Joshua Wong1, Rohit Loomba2, Kiona Y Allen3
1Division of Pediatric Cardiology, Advocate Children's Hospital, Chicago, IL, USA. Joshua.wong@aah.org.
Pediatric cardiology
|June 24, 2024
概括
患有单心室心脏病的儿童可以通过使用标准化的饥饿诱导方法成功地从养管中断奶. 这种方法导致大多数患者的口腔独立,证明了其可行性和安全性.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 胃肠病学 胃肠病学
- 发育儿科 发育儿科
背景情况:
- 患有单心室心脏病的儿童通常需要长时间的输卵管支持,即使在第二阶段的缓解后.
- 现有的输卵管断奶方法可能无法优化这种复杂的儿科患者群体.
研究的目的:
- 为了评估单心室患者的特征和结果,他们接受了标准化的饥饿挑食管断奶过程.
- 评估这种断奶方法的可行性,安全性和有效性,以实现口服养独立.
主要方法:
- 一项多中心研究包括单心室患者在第二阶段息后接受正式的管断奶过程.
- 收集的数据包括患者人口统计数据,吞评估,口服摄入百分比,管断奶参数 (持续时间,中断,不良事件,体重变化).
主要成果:
- 94%的患者实现了口腔独立,中位数断奶时间为12.5天.
- 尽管有62%的患者暂时减肥,但75%的患者在断奶后1个月恢复了基线体重.
- 患者初始口服摄入量较低 (<10%) 和有吸血史的患者已成功断奶.
结论:
- 标准化的饥饿诱导方法是为单心室患者的输卵管断奶提供可行和安全的方法.
- 这种方法有助于及时移除食管,并具有最小的不良影响,促进口服食独立性.
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