接受皮肤内镜胃口切割养的儿童的长期结果
Mahmood Grayeb1, Avishay Lahad2, Rana Elhaj2
1The Azrieli Faculty of Medicine, Bar-Ilan University, 8 Henrietta Szold St, POB 1589, Safed 1311502, Israel.
Medicina (Kaunas, Lithuania)
|March 27, 2025
概括
长期的胃口管养儿童,特别是神经发育障碍儿童,显示耐用性,但住院率高,主要是由于呼吸道感染. 建议定期对微量营养素进行监测.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 临床营养学 临床营养学
- 长期健康结果
背景情况:
- 对于依赖胃口管养的儿童的长期结果存在有限的数据.
- 穿皮内镜胃口术 (PEG) 是这些儿童的常见干预措施.
研究的目的:
- 评估接受皮肤内镜胃口术 (PEG) 的儿童的长期随访.
- 在这个队列中分析营养状况,住院率和基金复合程序.
主要方法:
- 回顾性队列研究分析了接受PEG安置的儿童的医疗记录.
- 从2002年1月到2022年6月在以色列东北部收集的数据.
主要成果:
- 在372名患有胃口管 (GT) 的儿童中,神经发育障碍的高率 (88%) .
- 62%的人经历了复发性住院 (≥2/年),主要是因为呼吸道感染 (52%).
- 铁缺乏症 (64%) 和缺铁性贫血 (31%) 的比例很高;34%的人缺乏维生素D.
结论:
- 胃口管养对于神经功能障碍的儿童来说是持久的.
- 观察到的基囊复合率低,但住院率高,主要是由于呼吸道感染.
- 对于这些儿科患者来说,常规评估微量营养素缺乏,特别是维生素D,至关重要.
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