术后养模式与新生儿先天性肠动后胃肠功能重建之间的关联
1Department of Neonatology, Shijiazhuang Maternal and Child Health Hospital, Shijiazhuang 050006, Hebei Province, China.
World journal of gastrointestinal surgery
|April 28, 2025
概括
肠道营养 (EN) 显著改善新生儿与先天性肠 (CIA) 的胃肠功能恢复. 这种方法导致肠道声音和第一次排便的恢复速度更快,而不是与腹腔营养 (PN) 相比.
科学领域:
- 新生儿手术 新生儿手术
- 儿科胃肠病学 儿科胃肠病学
- 手术营养是指手术营养.
背景情况:
- 先天性肠 (CIA) 是一种常见的新生儿形,需要手术干预.
- 手术后的养策略对于恢复受影响新生儿的胃肠功能至关重要.
研究的目的:
- 将不同手术后新生儿养方法的疗效与CIA进行比较.
- 分析肠道营养 (EN) 与亲肠道营养 (PN) 对胃肠功能重建的影响.
主要方法:
- 一项前性随机受控研究涉及26名新生儿,中情局进行了手术治疗.
- 参与者被分为EN (n=13) 和PN (n=13) 组.
- 关键的结果指标包括时间到肠道声音恢复和第一次排便.
主要成果:
- 与PN组相比,EN组的肠道声音恢复 (P=0.013) 和第一次排便 (P<0.001) 时间显著缩短.
- 在EN组中改善的临床结果包括更好的出院体重,更短的住院时间,以及白细胞和白蛋白水平的有利变化.
- 两组之间没有观察到术后并发症的显著差异.
结论:
- 肠道营养 (EN) 显著提高了新生儿的胃肠功能恢复和临床结果与CIA.
- 肠道食与手术后第一次排便的时间缩短有关.
- 建议对最佳EN协议进行进一步的研究,以改善临床应用.
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