在患有支气管炎的儿科患者中进行肠道食,需要通过鼻腔接口提供非侵入性支持
Kelsey Finnegan1, Julia Smalley1, Barbara Gallagher1
1Division of Pediatric Critical Care Medicine, MassGeneral Brigham for Children, Boston, MA, USA.
Pediatric research
|March 28, 2025
概括
在非侵入性呼吸器支的支气管炎儿童中,口服养是安全的,并降低了肺炎和住院的风险. 鼻胃食增加了肺炎的几率.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 儿科肺病学 儿科肺病学
- 新生儿和婴儿营养新生儿和婴儿营养
背景情况:
- 肠道养对于重症儿童至关重要.
- 由于安全问题,非侵入性呼吸辅助可能会延迟食.
- 支气管炎是婴儿常见的呼吸系统疾病.
研究的目的:
- 为了研究口服与鼻胃养在非侵入性呼吸辅助支气管炎儿童的安全性.
- 确定养方法与不良事件 (包括肺炎和呼吸支升级) 之间的关联.
- 评估养方法对逗留时间的影响.
主要方法:
- 对407名患有支气管炎的0-24个月龄的患者进行了回顾性队列研究.
- 患者通过鼻腔接口获得非侵入性呼吸支持.
- 对比统计和多变量回归分析了养方法 (口服与鼻胃) 和临床结果.
主要成果:
- 与口服养相比,鼻胃养与患上新型肺炎的几率增加了4.65倍.
- 根据养方法,没有发现肺炎发展,呼吸支升级或最高支水平的显著差异.
- 口服养与儿童重症监护病房和整体住院时间的减少有关.
结论:
- 通过口腔或胃口管进行肠道养对于在非侵入性呼吸器支下患有支气管炎的儿童是安全的.
- 口服养与肺炎风险降低和住院时间缩短有关.
- 需要进一步的研究来评估口服养的长期安全性和营养充足性.
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