实施营养护理包与早产婴儿的增长改善有关,早产婴儿出生在妊娠32周之前
Jiří Dušek1, Elisabeth Stoltz Sjöström2, Itay Nilsson Zamir3
1Faculty of Health and Social Sciences, University of South Bohemia, Department of Neonatology, České Budějovice Hospital, Czech Republic.
Early human development
|November 13, 2024
概括
实施营养护理包改善了非常早产 (VPT) 婴儿的生长和减少了专利动脉管 (PDA). 这种营养干预对婴儿发育和临床结果产生了积极的影响.
科学领域:
- 新生儿医学 新生儿医学
- 儿童营养学 儿童营养学
- 临床研究 临床研究
背景情况:
- 非常早产 (VPT) 婴儿 (<32周妊娠年龄) 在生长和发育方面面临重大挑战.
- 优化营养支持对于改善这一弱势群体的结果至关重要.
研究的目的:
- 评估营养护理包对非常早产婴儿生长参数和发病率的影响.
- 为了确定标准化的营养方法是否会影响关键的临床结果.
主要方法:
- 一项涉及87名2018年出生的非常早产婴儿 (前组) 和2020年出生的75名婴儿 (后组) 的比较研究.
- 在两个研究期间之间,在一个中心实施了一套营养护理包.
- 分析了生长指标 (体重,头周长z-score) 和经过治疗的专利导管动脉 (PDA) 的发生率.
主要成果:
- 与"之前"组相比,在"之后"组的婴儿体重和头周长z-score的下降明显较小.
- 在After组中,早些时候实现了全肠道养 (72.9%在第14天与51.9%相比).
- 在"After"组 (P < 0.001) 观察到需要治疗的突破性动脉管的比率明显较低.
结论:
- 实施营养护理包与非常早产婴儿的产后生长增强有关.
- 营养护理包可能有助于减少需要治疗的动脉管的发病率.
- 这种标准化方法有望改善非常早产新生儿的整体临床结果.
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