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Published on: December 1, 2012
在肠道手术后优化孕期NEC和穿孔婴儿的营养策略:一项回顾性研究
1Department of Neonatology, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Children's Hospital of Chongqing Medical University, Chongqing, 400014, China.
早期肠道营养 (EEN) 和婴儿快速养的进步从穿孔性死角 enterokolitis (NEC) 恢复的婴儿减少并发症和住院. 特殊的医疗配方有助于肠道恢复.
科学领域:
- 新生儿科学 新生儿科学
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
背景情况:
- 死性肠球炎 (NEC) 是一种严重的婴儿疾病,穿孔带来了严重的风险.
- 对于从NEC相关穿孔中恢复过来的婴儿来说,缺乏最佳的再指南.
研究的目的:
- 为了确定从NEC诱导的穿孔中恢复的期满婴儿的最佳再养策略.
- 评估恢复肠道营养 (EN) 的时间,进展和方法的影响.
主要方法:
- 研究了经过手术的90名患有NEC穿孔的新生儿.
- 组包括早期 (EEN) 与晚期 (LEN) EN,更快 (FI) 与更慢 (SI) 的进展,以及完整的蛋白质 (IPF),特殊医疗 (SMF) 或混合养 (MF).
主要成果:
- 与LEN相比,EEN与较低的肠狭窄率,重复手术和较短的医院/亲肠营养 (PN) 持续时间有关.
- 较快的EN进展与较短的住院/PN停留时间相关,但体重增加较慢.
- 中小企业表现出比IPF和MF更短的时间来重复每年零 (NPO).
结论:
- 早期的肠道养和快速的EN进步有利于NEC和穿孔术后的孕期婴儿.
- 这些策略可以减少短期并发症,缩短住院时间.
- IPF和MF似乎促进了肠道的适应和恢复.
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