婴儿养和儿童的关键性
Lauren R Sorce1,2, Lisa A Asaro3, Martha A Q Curley4,5
1Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Nursing in critical care
|June 26, 2024
概括
人类母乳养并没有影响急性呼吸衰竭的重症病患婴儿的疾病严重程度. 然而,纯人母乳 (HBM) 养显示出呼吸衰竭更快恢复的趋势.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 新生儿营养新生儿营养
- 呼吸系统药物 呼吸系统药物
背景情况:
- 人类母乳 (HBM) 已知可以保护婴儿免受急性疾病.
- 养HBM对急性呼吸衰竭 (ARF) 婴儿的关键性和恢复的影响尚不清楚.
研究的目的:
- 调查早期HBM养与急性疾病儿童的疾病严重程度和恢复之间的关联,这些儿童需要机械通风来治疗ARF.
主要方法:
- 一项前性队列研究,涉及参与RESTORE临床试验的1-36个月龄婴儿的母亲.
- 对于急性呼吸衰竭,婴儿需要输管和机械通风.
- 母亲完成了一项关于生命第一个月内HBM摄入量的调查.
主要成果:
- 在接受专用HBM (90%-100%) 和未接受专用HBM (90%-100%) 的婴儿之间,在儿科重症监护室 (PICU) 入院时的疾病严重程度或儿科急性呼吸困扰综合征 (PARDS) 严重程度没有显著差异.
- 虽然接受独家HBM的婴儿显示了从ARF恢复时间减少1天的趋势,但这种差异在统计学上并不显著.
- 儿童死亡风险 (PRISM) III-12分数和中度/重度PARDS率在独家HBM和非独家HBM组之间是相似的.
结论:
- 早期人类母乳养剂量与需要机械通风的ARF儿童在PICU入院时的疾病严重程度无关.
- 虽然在统计学上没有显著意义,但独家HBM养表明了临床上相关的趋势,即更快地从ARF中恢复,支持医疗保健专业人员的持续推广.
更多相关视频
09:36Effect of Hyaluronic Acid 35 kDa on an In Vitro Model of Preterm Small Intestinal Injury and Healing Using Enteroid-Derived Monolayers
Published on: July 28, 2022
2.2K
07:11Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling
Published on: February 5, 2019
9.0K
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
124
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
124
Enteral Nutrition I: Orogastric and Nasogastric Feeding
240
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
240
Parental Care
11.7K
Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.
11.7K
Attachment
60
Attachment is vital for infant development, as warm social interactions support growth and well-being. In a classic 1958 study by Harry Harlow, the significance of warmth and comfort in forming attachments was examined. Harlow separated newborn monkeys from their mothers and provided two artificial "mothers": one made of cold wire and the other covered in soft cloth. Despite the wire mother offering food, the infant monkeys preferred the comfort of the cloth mother, demonstrating that...
60
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
103
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
103
