在早产婴儿死角性肠球炎和焦点肠穿孔后的营养管理
Ingrid Mo1, Alexandre Lapillonne2,3, C H P van den Akker4,5
1Department of Clinical Research, University of Southern Denmark, 5000, Odense, Denmark.
Pediatric research
|July 11, 2024
概括
在死亡性肠球炎 (NEC) 或焦点肠孔 (FIP) 后早产婴儿的营养管理缺乏高质量的证据. 建议制定一个多学科的共识准则,在重新开始肠道营养时优先考虑母乳.
科学领域:
- 新生儿科学 新生儿科学
- 儿科手术 儿科手术
- 临床营养学 临床营养学
背景情况:
- 早产婴儿从死角性肠球炎 (NEC) 或焦点肠孔 (FIP) 恢复后的营养管理是复杂的,特别是在手术治疗的情况下.
- 目前的养做法依赖于生理原理和单位共识,而不是强有力的证据,导致护理的变化.
- 在新生儿单位中,对于NEC或FIP后的婴儿缺乏既定的营养标准.
研究的目的:
- 审查现有的关于早产婴儿营养管理策略的文献,以 NEC 或 FIP 为基础.
- 总结有关肠道营养重新启动时间,最佳养类型和进步协议的证据.
- 讨论关键方面,如微量营养素缺乏,胆固醇,口腔管的输出管理,口腔管关闭时间等.
主要方法:
- 科学文献的叙述性审查.
- 综合有关营养干预措施的信息,包括料的时间,类型和推进.
- 讨论相关的并发症和手术考虑.
主要成果:
- 高质量的证据不足以支持对NEC或FIP后营养实践的基于证据的建议.
- 建议母乳作为恢复肠道营养的首选选择.
- 显著需要进一步研究和制定标准化指南.
结论:
- 严重缺乏高质量的研究,以指导早产婴儿在NEC或FIP后的营养管理.
- 建议由多学科团队开发的基于共识的早期营养指南.
- 迫切需要在这个脆弱的患者群体中进行营养研究,以建立基于证据的实践.
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