儿科中亲肠道营养定制:一个描述性的队列研究
Jéssica Lavanholi Pinho1, Renata Germano Borges de Oliveira Nascimento Freitas1, Roberto Jose Negrão Nogueira2
1Department of Pediatrics of the School of Medical Science, Universidade Estadual de Campinas (UNICAMP), Campinas, Brazil.
JPEN. Journal of parenteral and enteral nutrition
|October 9, 2024
概括
对儿科重症监护和营养不良患者来说,定制腹腔营养 (PN) 非常重要,通常是由于能量蛋白质需求和矿物质干扰. 这凸显了为有效提供PN而需要专门的团队和系统.
科学领域:
- 儿童营养学 儿童营养学
- 临床营养学 临床营养学
- 医疗营养治疗 治疗 治疗
背景情况:
- 腹腔营养 (PN) 是一种复杂的疗法,需要仔细的个性化,特别是在脆弱的儿科群体.
- 标准PN配方可能无法满足住院儿童独特的代谢和临床需求.
- 了解PN定制的具体原因对于优化患者的治疗结果和资源配置至关重要.
研究的目的:
- 分析四级护理医院住院的儿科患者的亲肠道营养 (PN) 定制的主要指示.
- 在这个群体中确定PN定制需求的频率和时间.
主要方法:
- 进行了一项描述性队列研究,涉及264名接受PN的住院儿科患者.
- 收集的数据包括来自患者记录的人类计量,生化和住院细节.
- 定制原因被定义为排除标准成人/青少年PN的条件,包括/肝功能衰竭,能量蛋白质需求和矿物质/甘油三异常.
主要成果:
- 大多数患者 (87.9%) 需要在48小时内定制PN,主要是为了能量-蛋白质充足.
- 矿物质干扰在前4天内成为进一步PN个体化的重要原因.
- 在PN治疗的第一周内,观察到高度的定制率 (97.4%在48小时,96.2%在第4天,90.1%在第7天).
结论:
- 定制PN对于儿科患者至关重要,特别是那些年轻,营养不良或重症监护患者.
- 这些发现强调了营养多学科治疗团队的重要性.
- 建议实施专门的PN处方电子系统,以提高安全性和效率.
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