手术前营养干预计划增加了在低收入和中等收入国家设置中裂口手术的资格
Devon O'Brien1, Meenakshi Mitra2,3, Mallika Jadly3
1Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
BMC nutrition
|March 5, 2025
概括
在资源较低的环境中,手术前营养计划显著改善了裂唇和/或 palatal (CL/P) 的儿童的营养状况,使大多数儿童能够接受手术. 这些计划解决营养不良障碍,及时修复裂.
科学领域:
- 儿科手术 儿科手术
- 营养科学 营养科学
- 全球健康 全球健康
背景情况:
- 患有裂唇和/或 palatal (CL/P) 的儿童面临营养不良,阻碍了手术修复的资格.
- 术前营养计划在资源丰富的环境中是有效的,但在低收入和中等收入国家 (LMICs) 没有得到证明.
研究的目的:
- 评估手术前营养计划对LMIC中CL/P儿童营养状况的影响.
- 为了确定该计划在实现手术适用于CL/P修复方面的有效性.
主要方法:
- 在印度的Operation Smile Durgapur裂中心对236名患者的回顾性评估 (2021年3月至2022年12月).
- 营养不良使用印度儿科学院 (IAP) 标准对营养不良进行分类;身份和手术资格的变化是主要和次要结果.
- 统计分析包括t测试和基平方测试;p < 0.05被认为是显著的.
主要成果:
- 在236名不符合条件的患者中,75.8%的营养状况有所改善,20.7%的营养状况保持,3.4%的营养状况下降.
- 与年轻的年龄和更高的母亲教育相关的改善.
- 77.5%的人有资格进行裂修复,68.6%的人接受了手术.
结论:
- 术前营养计划有效地改善营养状况,并使LMIC中CL/P儿童具有外科治疗资格.
- 这些计划解决了营养不良问题,因为营养不良是资源有限的环境中及时和安全修复裂的重要障碍.
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