与性别相关的营养结果在早产非常低出生体重的婴儿中
Leslie A Parker1, Michael Weaver, Diomel de la Cruz
1Author Affiliations: Department of Biobehavioral Nursing Science, College of Nursing (Drs Parker and Weaver); and Department of Pediatrics, Division of Neonatology, College of Medicine, University of Florida, Gainesville Florida (Drs de la Cruz and Neu).
概括
男子早产婴儿经历了更长的营养支持持续时间和更高的毒症等并发症率. 这些发现凸显了新生儿重症监护室对出生时体重非常低的婴儿进行性别特定营养策略的必要性.
科学领域:
- 新生儿营养新生儿营养
- 儿科生长和发育的发展.
- 基于性别的生物差异.
背景情况:
- 最佳营养对于增长和减少早产婴儿出生时体重非常低 (VLBW) 的神经发育障碍至关重要.
- 目前对VLBW婴儿的性别特异性营养结果的知识有限.
- 了解这些差异对于定制婴儿护理至关重要.
研究的目的:
- 调查婴儿性别对实现全肠养的时间的影响.
- 分析VLBW婴儿的其他性别特定的营养结果.
- 在新生儿重症监护中提供基于精度的营养支持.
主要方法:
- 纵向队列研究,对现有数据进行二次分析.
- 纳入标准:313名婴儿出生时间 ≤32周,体重 ≤1500克.
- 从电子病历中提取的营养结果数据.
主要成果:
- 男婴倾向于更长时间的全肠道养,亲肠道营养和中线使用,尽管在统计学上并不显著.
- 男人表现出明显更高的直接胆红素水平,吐和晚发性败血症.
- 虽然男性的初始出生体重和体重增加倾斜率较高,但6周体重和生长速度相似,女性倾向于更高.
结论:
- 护士在优化早产婴儿的营养方面发挥着至关重要的作用.
- 有证据表明,VLBW婴儿的营养结果存在性别特异的差异.
- 建议在新生儿护理中考虑性别的基于精确度的营养支持.
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