在患有死角性肠球炎的早产婴儿中,口腔闭塞的最佳时间
Kirsten Gimbel1, Alicia C Greene2, James M Hughes1
1The Pennsylvania State University College of Medicine, Hershey, Pennsylvania.
The Journal of surgical research
|February 12, 2025
概括
结核性肠球炎 (NEC) 静脉关闭时间和体重没有影响总停留时间或并发症. 患有NEC的早产婴儿的早期关闭与更长的术后停留有关,但总体结果相似.
科学领域:
- 新生儿手术 新生儿手术
- 儿科胃肠病学 儿科胃肠病学
- 外科手术的结果
背景情况:
- 结核性肠球炎 (NEC) 是早产婴儿的严重胃肠道疾病.
- 对NEC的外科手术往往需要 ostomy 或 stoma 创建.
- 评估口腔闭塞时间和婴儿体重对于优化NEC管理至关重要.
研究的目的:
- 评估静脉口腔关闭时间对NEC患者结局的影响.
- 为了确定婴儿体重在口腔闭塞时对临床结果的影响.
- 根据关闭参数,比较术后停留时间和并发症率.
主要方法:
- 对早产婴儿的回顾性审查,NEC经历了口腔形成和关闭.
- 从2011年到2022年,在一家高等儿童医院收集的数据.
- 对患者特征和结果的分析,按静脉关闭时间和重量分层分层.
主要成果:
- 37名NEC患者符合纳入标准;70.3%的患者患有骨髓切除术.
- 早些时候的口腔闭塞与婴儿体重降低有关.
- 术后停留时间在早期 (<8周) 或低重量 (<2公斤) 关闭时较长,但总停留时间和并发症是可比的.
结论:
- 在NEC患者中,口腔闭塞时间和婴儿体重没有显著影响住院总长度或整体术后并发症.
- 虽然早期关闭可能会延长术后停留时间,但似乎不会增加整体发病率.
- 这些发现支持在NEC管理中对口腔关闭的个性化方法.
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