骨架切割时的体重作为操作时间考虑的因素 - - 有关吗?
Goeto Dantes1, Jack Murfee2, Alissa Doll2
1Department of Surgery, Division of Pediatric Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
概括
从历史上看,体重决定了早产婴儿的肠静脉关闭 (EC) 时间. 这项研究发现,接受EC的新生儿在2公斤以下 (L2K) 和2公斤以上 (G2K) 的并发症或康复没有显著差异.
科学领域:
- 新生儿手术 新生儿手术
- 儿科外科手术 儿科外科手术
- 胃肠道手术 胃肠道手术
背景情况:
- 从历史上看,新生儿根据体重值接受了肠静脉关闭 (EC).
- 最近的证据表明,体重小于2公斤 (L2K) 的新生儿可以安全地接受EC.
- 这项研究评估了EC在L2K的早产新生儿中的安全性和有效性,而不是超过2公斤 (G2K).
研究的目的:
- 为了比较在L2K和G2K接受EC的早产新生儿之间的30天并发症率.
- 为了评估两个组之间的完全养 (FF) 和术后停留时间 (LOS) 的时间差异.
- 为了确定仅仅体重是否应该影响适当的早产新生儿的EC时间.
主要方法:
- 在2018年1月至2020年期间接受了EC的24名早产新生儿的回顾性审查.
- 不包括在初次手术时超过90天的新生儿.
- 人口统计,临床特征 (妊娠年龄,出生体重),操作细节和L2K和G2K队列之间的结果的比较.
主要成果:
- 在L2K (11名新生儿) 和G2K (13名新生儿) 队列之间,妊娠年龄,出生体重或手术内诊断没有显著差异.
- 在L2K和G2K组之间,30天的并发症率相似.
- 两组之间在完全养的时间 (12天 vs. 10天) 或术后停留时间 (31天 vs. 36.5天) 上没有显著差异.
结论:
- 体重本身不应该是确定早产新生儿肠道关闭时间的唯一决定因素.
- 体重小于2公斤的早产新生儿可以安全地接受肠静脉关闭,而不会增加并发症或延长恢复时间.
- 这一发现支持基于临床准备度而不是严格的体重标准的EC时间更为个性化的方法.
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