在心脏病手术术的术后管理中实现热量目标
Murat Tanyildiz1, Selin Ece Erden1, Asli Ece Yakici1
1Department of Cardiac Intensive Care Unit, Koc University School of Medicine, Istanbul, Turkey.
Cardiology in the young
|February 27, 2025
概括
在为先天性心脏病 (CHD) 进行心脏手术后的儿科患者中,营养不良很常见. 器官衰竭和长时间的机械通风严重影响它们在手术后达到营养目标的能力.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 心脏病学 心脏病学
- 营养科学 营养科学
背景情况:
- 研究心脏手术后患有先天性心脏病 (CHD) 的儿科患者的营养不良患病率.
- 检查心脏重症监护室 (CICU) 设置中实现热量目标的时间和相关的营养风险因素.
研究的目的:
- 确定心脏病开放性手术后儿科患者营养不良的发生率.
- 确定影响这一弱势群体实现术后热量目标的因素.
主要方法:
- 75名儿科患者 (1个月-18岁) 在2021-2022年间接受开放心脏手术的回顾性分析.
- 收集的数据包括营养状况,各种临床评分 (例如PRISM-3,P-PODS-2),机械通风持续时间和停留时间.
- 统计分析,包括逻辑回归,用于识别风险因素.
主要成果:
- 营养不良很普遍,根据BMI对年龄z-score影响了17%,根据体重对长度/身高z-score影响了35%.
- 较晚达到热量目标 (>4天) 的患者的结果明显较差,包括较高的死亡率和较长的CICU停留时间.
- 机械通风的持续时间,P-PODS-2和PRISM-3得分被确定为延迟达到热量目标的风险因素.
结论:
- 营养不良是手术后患有心血管疾病的儿科患者的一个重要问题.
- 器官衰竭和机械通风的持续时间是实现术后营养目标的关键决定因素.
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