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在新生儿群体中采用菌再注射实践
Alexandria H Lim1, Georges Tinawi2, Taylor Harrington3,4
1Department of Surgery, The University of Auckland, Auckland, New Zealand. alexandriahl84@gmail.com.
Pediatric surgery international
|November 27, 2024
概括
草再输液疗法 (CRT) 改善新生儿营养和肠道适应. 这种未被充分利用的做法对患有肠道异常或死性肠球炎的婴儿来说是有前途的,尽管存在一些与CRT无关的并发症.
科学领域:
- 新生儿医学 新生儿医学
- 胃肠病学 胃肠病学
- 手术营养是指手术营养.
背景情况:
- 菌再输液疗法 (CRT) 是一种将近位静脉口输出重新输入远端肠道的方法,促进肠道的适应.
- 虽然有效,但CRT在新生儿中未得到充分利用,特别是那些患有先天性肠道异常或死性肠球炎的新生儿.
研究的目的:
- 确定新生儿群体中CRT的频率,方法和不良影响.
- 评估CRT对新生儿营养结果和肠道适应的影响.
主要方法:
- 在新西兰的两个主要儿科医院进行了一项为期十年的回顾性队列研究.
- 收集了接受CRT的符合条件的新生儿的数据,重点是方法和结果.
主要成果:
- 在49名符合条件的新生儿中,有23名 (47%) 接受了CRT治疗,以治疗诸如高口腔产量和营养不良等症状.
- CRT与中位数每日体重增加 (13.9~24.37g/天,p=0.04) 的显著增加有关.
- 非传染性并发症,如周胃皮肤刺激 (60%) 和口腔 (43%) 是常见的,但很少与CRT直接相关.
结论:
- 梅再输液疗法是一种未充分利用但有效的方法,用于改善肠道衰竭的新生儿的营养.
- 需要标准化协议来促进一致的CRT利用,并优化高风险新生儿的治疗结果.
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