儿科胃口管转诊模式和术后使用:单中心体验
Derek J Krinock1, Krista J Stephenson1, Madison G Whaley1
1Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Journal of pediatric gastroenterology and nutrition
|December 9, 2024
概括
近25%的儿童在胃口管 (GT) 放置一年内获得口服养. 先天性肺病和遗传异常预测GT使用时间更长,这表明这些儿科患者的早期安置.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
背景情况:
- 胃口管 (GT) 放置时间对于口腔营养不充分的儿童而言有所不同.
- 预测长期使用GT对于优化患者选择和护理至关重要.
研究的目的:
- 为了确定与延长外科胃口管使用相关的患者因素.
- 为了为临床决策提供关于GT安置最佳时间的信息.
主要方法:
- 458名接受手术GT安置的儿童 (≤18岁) 的回顾性队列研究.
- 使用双变量和逻辑回归分析转诊模式,手术指示和并发症.
- 评估影响GT使用时间的因素.
主要成果:
- 23%的儿童在GT安置12个月内实现了完全口服养.
- 先天性肺部疾病 (OR:3.03) 和遗传异常 (OR:3.57) 是长期使用GT的显著预测因素.
- 那些最终去除的中位数GT使用时间为269天.
结论:
- 在GT安置后,很大一部分儿童恢复了口服养的独立性.
- 早期GT安置适用于患有先天性肺病或遗传异常的儿科患者.
- 持续的鼻胃管 (NGT) 养可能适合选择的患者,以避免不必要的GT程序.
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