在医疗复杂的婴儿接受长期高流量鼻支的口服养实践:一个回顾性队列研究
Emily Cox1, Jasneek Chawla2,3, Madison Moore4
1School of Clinical Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Journal of paediatrics and child health
|September 30, 2024
概括
对于患有慢性疾病的婴儿,高流量鼻腔管 (HFNC) 的支持可以阻碍口服养的进展. 需要进一步的研究,以优化这些脆弱的婴儿的养结果.
科学领域:
- 新生儿科学 新生儿科学
- 儿科呼吸系统护理 儿童呼吸系统护理
- 语音语言病理学 语音语言病理学
背景情况:
- 患有慢性疾病的婴儿通常需要长时间的呼吸支持.
- 高流量鼻管 (HFNC) 是一种常见的呼吸辅助方法.
- 在婴儿中,食困难很普遍,需要长时间的医疗干预.
研究的目的:
- 为了描述长期接受HFNC的婴儿的养特征.
- 检查这些婴儿的护理途径,包括语音病理学输入.
- 确定依赖HFNC的婴儿口服养的障碍.
主要方法:
- 对于依赖HFNC的婴儿 (≥2-3 L/kg长达≥5天) 的电子记录的回顾性审查.
- 收集的数据包括病史,HFNC细节,食结果和语音病理学 (SLP) 护理.
- 没有包括急性呼吸道疾病的婴儿.
主要成果:
- 包括24名患有复杂慢性疾病的婴儿;中位数HFNC使用时间为37.5天.
- 83.3%的人获得了SLP输入,但HFNC要求是常见的障碍 (45%).
- 尽管养方法有所改善,但在完全口服料中,只有9.1%的料被排泄.
结论:
- 在患有慢性疾病的婴儿中,长时间的HFNC支持显示了口服养管理的变化.
- 而HFNC本身就成为推进口服养的障碍.
- 进一步的研究至关重要,以确保对这一群体提供安全有效的口服养策略.
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