新生儿的肠道营养 患有缺氧缺血脑病的新生儿 接受治疗性低温治疗
Mehmet Fatih Deveci1, Zehra Arslan2, Ayse Unal Yuksekgonul3
1Division of Neonatology, Department of Pediatrics, Harran University Faculty of Medicine, Sanliurfa, Türkiye.
概括
在治疗性低温症 (TH) 的低氧性缺血性脑病变的婴儿早期开始肠道营养是安全和有益的. 早期营养可以缩短完全养的时间,并缩短住院时间,而不会增加并发症.
科学领域:
- 新生儿科学 新生儿科学
- 儿科胃肠病学 儿科胃肠病学
- 关键护理医学 关键护理医学
背景情况:
- 临床医生面临的不确定性,对婴儿的最佳营养缺氧缺血性脑病变 (HIE) 由于风险,如死性肠球炎和食不耐受.
- 治疗性低温症 (TH) 的HIE患者的营养方案尚不清楚.
研究的目的:
- 调查在接受TH的HIE患者中启动肠道营养的最佳时间.
- 评估早期与晚期肠道营养对临床结果的影响.
主要方法:
- 一项回顾性单中心研究分析了在2022年1月至2023年6月期间接受TH治疗的91名HIE患者.
- 根据与TH相对的营养开始时间,患者被分为早期肠道营养 (EEN) 和晚期肠道营养 (LEN) 组.
主要成果:
- 在LEN小组中,出生体重的延迟时间 (10 vs 7.5天) 和更长的过渡到全肠营养 (10 vs 7天).
- 与EEN组相比,LEN组的住院时间明显长 (13天而不是9天).
- 在EEN组中没有观察到增加的营养并发症.
结论:
- 治疗性低温并不排除HIE患者早期启动肠道营养.
- 早期肠道营养是安全的,不会增加并发症,并且与接受TH的HIE婴儿住院时间缩短有关.
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