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在手术期间对患有先天性糖尿病的儿童进行营养风险评估和营养支持
Jiaoyan Lian1, Fang Zhang1, Haoyu Chen2
1Department 1 of Pediatric Digestive, Gansu Provincial Maternity and Child-care Hospital, Lanzhou 730050, Gansu Province, China.
Open medicine (Warsaw, Poland)
|June 30, 2025
概括
术后营养风险评估和支持对患有先天性糖尿病的儿童至关重要. 适当的营养管理,考虑到血糖和BMI等因素,可以改善结果,减少手术期间和之后的并发症.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 手术营养是指手术营养.
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 遗传糖尿病需要经过精心的术后管理.
- 营养状况显著影响儿科患者的手术结果.
- 在手术期间营养风险评估对这一群体没有标准化.
研究的目的:
- 调查先天性糖尿病儿童的手术内营养风险.
- 评估不同营养支持策略 (静脉注射与口服) 的有效性.
- 确定影响营养支持和患者结果的风险因素.
主要方法:
- 一组60名患有先天性糖尿病的儿童被分为静脉注射 (n=30) 和口服 (n=30) 支持组.
- 手术后评估营养状况,卡路里摄入量和并发症.
- 统计分析确定了营养支持和葡萄糖控制的风险因素.
主要成果:
- 两组都显示出不同程度的营养不良,静脉注射组的营养不良较为严重 (11/30),而口服组的营养不良较为严重 (13/30).
- 在静脉注射组 (12/30) 与口服组 (9/30) 中观察到难以控制葡萄糖 (DGC) 的更高发病率.
- 禁食血糖<6.5 mmol/L和BMI<17.3被确定为影响营养支持的独立风险因素.
结论:
- 术后营养风险评估和量身定制的营养支持对患有先天性糖尿病的儿童至关重要.
- 优化营养策略可以减轻DGC和延迟伤口愈合等并发症.
- 进一步的研究应侧重于制定基于证据的指导方针,用于这种脆弱儿科群体的营养管理.
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