评估新生儿戒断综合征的营养选择和结果:回顾性审查
Juan A Gallegos1,2, Laura Serke3, Yana Feygin1
1Department of Pediatrics, University of Louisville School of Medicine, Louisville, Kentucky.
American journal of perinatology
|October 10, 2024
概括
新生儿戒断综合征 (NAS) 的婴儿的食选择会影响结果. 标准期配方 (STF) 与住院时间更短,不需要药物治疗有关,而广泛化配方 (EHF) 与住院时间更长相关. 所有的养类型都支持了生长.
科学领域:
- 新生儿护理 新生儿护理
- 儿童营养学 儿童营养学
- 药理学 药理学是指药理学的学科.
背景情况:
- 新生儿戒断综合征 (NAS) 发病率正在上升,增加了对非药物干预的需求,如专门的食策略.
- 目前对NAS婴儿的养做法需要评估,以优化管理和结果.
研究的目的:
- 评估不同营养选择对NAS婴儿停留时间 (LOS),治疗时间 (LOT) 和生长的影响.
- 了解养修改如何与NAS婴儿的戒断症状严重程度保持一致.
主要方法:
- 在3年的时间里,对70名被诊断患有NAS的婴儿进行了回顾性图表审查.
- 婴儿根据其主要养类型进行分类:母乳 (MBM),标准孕婴儿配方 (STF),低乳糖配方 (LLF) 或广泛化配方 (EHF).
- 包括线性回归在内的统计分析被用来比较养组之间的LOS,LOT和生长参数 (p<0.05).
主要成果:
- 受STF养的婴儿的LOS最短,不需要药物治疗.
- MBM和LLF组显示了类似的LOS和LOT.
- 食EHF的婴儿经历了最长的LOT和LOS.
- 所有养组都表现出适当的生长结果.
结论:
- 根据戒断症状的严重程度,对NAS婴儿的营养选择进行了调整,在严重情况下使用了更基本的配方.
- 所有评估的营养修改都支持NAS婴儿的良好生长.
- 养策略可以根据NAS的严重程度进行定制,同时确保婴儿的适当生长.
相关概念视频
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...