基于共识的营养路径与患有胃的婴儿的生长迟缓之间的关联:一项回顾性队列研究
Katie M Strobel1,2, Katelin Kramer3, Catherine Rottkamp4
1Department of Pediatrics, University of California Los Angeles, Los Angeles, California, USA.
JPEN. Journal of parenteral and enteral nutrition
|October 6, 2024
概括
一个新的营养途径显著减少了患有胃症的婴儿的生长迟缓. 这种多中心的方法通过专注于早期的腹腔营养和母乳来改善婴儿的结果,从而导致医院出院后更好的生长.
科学领域:
- 儿科手术 儿科手术
- 新生儿营养新生儿营养
- 增长监测 增长监测 增长监测
背景情况:
- 胃分裂与高发育失速率有关,影响到55%的婴儿在医院出院后.
- 显著需要改善营养支持和增长结果的新生儿与胃.
- 之前的研究突出了管理这一人口中增长不稳定的挑战.
研究的目的:
- 评估一个新开发的营养路径的坚持性和有效性,为患有胃的婴儿.
- 评估该途径对医院出院时生长失速率的影响.
- 为了比较婴儿在实施该途径之前和之后的生长结果.
主要方法:
- 一个多中心营养途径被开发和实施在六个加利福尼亚州的医院.
- 该途径强调了早期的门大营养素供应,母乳利用和特定的增长阻碍治疗.
- 在 (n=126) 和 (n=52) 路径启动之前和之后出生的婴儿在体重和线性生长迟缓方面进行了比较 (z分数下降≥0.8).
主要成果:
- 对路径组件的坚持率在58%至95%之间.
- 排放时体重或线性增长的发生率在途径实施后显著下降 (59.4%与36.2%,P=0.0068).
- 这种途径独立地与减少生长迟缓 (OR 0.35) 和在出院时线性生长迟缓 (OR 0.24) 相关,在调整妊娠年龄和胎儿生长限制后.
结论:
- 实施多中心营养途径使得患有胃的婴儿的生长迟缓显著减少.
- 该途径有效地改善了婴儿在出院后的生长结果.
- 这种标准化的方法表明了成功的策略,用于管理胃的营养挑战.
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