在密集的多学科养干预期间快速输管断奶的可接受性和可行性
Valerie M Volkert1,2, Rashelle Berry2, Heather Farling2
1Department of Pediatrics, Emory University School of Medicine, Atlanta, GA; and.
概括
对于需要密集养干预的儿童来说,从肠道养中快速断奶是可行的和可以接受的. 这种方法并没有显著影响到全口服或管断奶作为行为治疗的辅助.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 临床营养学 临床营养学
- 行为治疗是一种行为疗法.
背景情况:
- 肠道养依赖影响着许多儿童,需要有效的断奶策略.
- 密集的多学科食干预措施对于管理复杂的食障碍至关重要.
- 快速断奶,一种诱导饥饿的方法,正在被探索作为标准护理的辅助.
研究的目的:
- 评估从口腔养中快速断奶的可行性和可接受性.
- 评估快速断奶对口服和输管断奶成功的影响.
- 为未来的随机临床试验提供信息,以优化试管断奶的结果.
主要方法:
- 试点试验涉及16名依赖肠道养的儿童,随机分为标准或快速断奶.
- 在密集的多学科计划中,干预时间为8周.
- 测量结果包括可行性基准,数据完整性,体重与年龄的z-score和口服热量摄入的百分比.
主要成果:
- 快速断奶的可行性和可接受性已成功实现.
- 初步数据表明,在达到100%的口服摄入量或管断奶方面没有显著差异.
- 在与行为干预一起使用时,快速断奶似乎不会影响结果.
结论:
- 快速断奶是儿科养干预中可行的和可接受的策略.
- 进一步的研究是有必要的,以优化从管养完全断奶的结果.
- 这项试点研究为未来的疗效随机临床试验提供了基础.
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