使用基于共识的营养途径-A后续研究改善先天性心脏病婴儿的生长
Aneurin Young1, Catarina Fandinga2, Cai Davis3
1Department of Neonatal Medicine, Princess Anne Hospital, University Hospital Southampton NHS Foundation Trust, Southampton UK; Southampton NIHR Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK; Faculty of Medicine, University of Southampton, Southampton, UK.
一个新的营养途径改善了手术前患有先天性心脏病 (CHD) 的婴儿的生长. 这种干预导致生命的第一年体重增加速度更好,可能减少以后代谢疾病的风险.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 营养科学 营养科学
- 遗传异常 是一种先天性异常.
背景情况:
- 先天性心脏病 (CHD) 是最常见的先天性异常,每1000名活产婴儿中就有9名受影响.
- 患有心血管疾病的婴儿的生长衰竭与心脏手术后的死亡风险增加有关.
- 优化心脏病等待手术的婴儿的生长对于降低发病率和改善长期代谢健康至关重要.
研究的目的:
- 评估2017年实施的基于共识的营养途径对患有心脏病的婴儿生长结果的影响.
- 为了比较两个时代的增长:前路径 (2013-2016) 和后路径实施 (2017-2023).
主要方法:
- 从电子病历中提取成长指标,并计算z-score.
- 通过转换和旋转 (SITAR) 的超叠加模型被用于为每个时代创建合适的生长速度曲线.
- 在两个不同的时间段分析了一组患有心脏病的婴儿队列.
主要成果:
- 后途径组的婴儿在生命的前4个月内显示出明显更好的生长结果.
- 在调整为群体差异 (p=0.01) 后,在实施后的时代,体重增加速度显著更高.
- 晚些时候没有观察到超重或肥胖患病率的显著变化,这表明该途径没有促进肥胖.
结论:
- 与以前的标准护理相比,实施的营养途径与心血管疾病的婴儿在生命的第一年中增长的改善有关.
- 在生命早期实现正常生长模式可能会减轻以后发展代谢疾病的风险.
- 需要进一步的研究,才能充分理解改善这一群体早期生长的长期代谢影响.
更多相关视频
09:36Effect of Hyaluronic Acid 35 kDa on an In Vitro Model of Preterm Small Intestinal Injury and Healing Using Enteroid-Derived Monolayers
Published on: July 28, 2022
07:11Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling
Published on: February 5, 2019
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Enteral Nutrition I: Orogastric and Nasogastric Feeding
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Chronic Pancreatitis II: Collaborative Care
Assessment:
Role of Communication in the Nursing Process II: Planning and Implementation
