在需要输管养的儿童中使用混合料
Jessica Sun1,2, Irene Chuah1, Alexandra Drobiszewski1
1General Medicine Department, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.
Journal of paediatrics and child health
|December 21, 2024
概括
儿童的混合输液养 (BTF),通常由父母选择用于症状控制,没有显示增加并发症或住院. 然而,这种儿科养方法并没有促进体重不足儿童的体重增加.
科学领域:
- 儿童营养学 儿童营养学
- 胃肠病学 胃肠病学
- 临床儿科 临床儿科
背景情况:
- 混合输液养 (BTF) 在儿科护理中存在争议,因为人们担心营养充足,感染风险和设备问题.
- 澳大利亚的父母越来越多地选择为他们的孩子提供BTF,即使这与医院的指导方针相矛盾,强调需要更多的研究.
研究的目的:
- 选择性地使用混合管养 (BTF) 进行儿科患者群体的表征.
- 评估BTF在患有复杂疾病的儿童中所产生的临床结果.
主要方法:
- 在一家三级儿科医院进行了一项回顾性病例系列研究.
- 从26名参与者的178次临床访问中收集了人口统计,人体统计和临床数据.
主要成果:
- 在儿童中,BTF最常用于症状控制 (30.8%),平均年龄为4.1岁.
- 呼吸系统疾病是临床表现最常见的原因 (47.2%).
- 没有观察到住院病例,胃肠道感染或设备并发症的增加;然而,BTF并没有促进体重增加,特别是在体重不足的儿童中.
结论:
- 父母的偏好和症状管理驱使儿童患者使用BTF,儿童患者有复杂的医疗需求,需要肠道营养.
- 在这个队列中,混合输液养 (BTF) 与并发症或住院患者增加无关.
- 该研究没有发现BTF在被研究的儿科人口中对体重增加有好处的证据.
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