在新生儿缺氧缺血性脑病症中进行肠道养
Helen Martinovski1, Luna Khanal1, Debra Kraft1
1Department of Pediatrics, Children's Hospital of Michigan, Detroit, Michigan.
American journal of perinatology
|January 6, 2025
概括
患有缺氧缺血性脑病变 (HIE) 的婴儿通常有食困难. 早期识别胃口管养和排泄的鼻胃养可能会缩短这些新生儿的住院时间.
科学领域:
- 新生儿科学 新生儿科学
- 儿科胃肠病学 儿科胃肠病学
- 神经学 神经学
背景情况:
- 缺氧缺血性脑病变 (HIE) 是一种严重的出生并发症,影响新生儿.
- 口腔养障碍是患有HIE的婴儿常见的挑战.
- 根据排放时的营养支持方法,养结果会有很大差异.
研究的目的:
- 描述HIE新生儿的养结果.
- 为了比较口腔,鼻胃或胃口管养的新生儿的特征和结果.
- 确定与排放时不同养方式相关的因素.
主要方法:
- 适度或重度HIE.婴儿的回顾性,单中心队列研究.
- 从2017年1月到2022年6月进行的冷却疗法.
- 数据收集在医院的过程和6个月的随访;统计分析包括千平方和ANOVA.
主要成果:
- 在123名婴儿中,77%通过口服养,9%通过鼻胃养,14%通过胃口管养.
- 胃口管组有更多的产内并发症,较低的阿巴格得分,严重的HIE,发作,更长的住院时间,以及延迟开始食.
- 接受鼻胃养的婴儿平均在54天内获得口服养;胃口组的体重和头周长百分比较低.
结论:
- 早期识别胃口管插入和排泄在鼻胃料上可能会减少住院时间.
- 产前并发症和HIE严重程度与胃口管使用有关.
- 这些发现可以为HIE新生儿肠道养的实践改进提供信息.
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
75
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
75
Enteral Nutrition I: Orogastric and Nasogastric Feeding
192
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
192
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
98
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,...
98


