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由于短肠综合征而导致肠衰竭的儿童提前食的技术和程序:叙述性综述
Elizabeth Bobo1, Liz Meinert King2
1Division of Gastroenterology and Nutrition, Nemours Children's Health, Jacksonville, Florida, USA.
概括
断奶儿童从肠外营养到肠内自主性对于短肠综合征是具有挑战性的. 本综述总结了推进口腔和肠道营养的策略,帮助护理人员教育.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 营养科学 营养科学
- 肠道康复 肠道康复
背景情况:
- 儿童的短肠综合征 (SBS) 需要长期的肠外营养 (PN).
- 过渡到肠道自主是一个复杂的,多年的过程.
- 诸如食不耐受,吸收不良和口腔厌恶等因素阻碍了营养进步.
研究的目的:
- 审查目前在儿科肠道衰竭中推进肠道和口腔营养的战略.
- 为护理人员提供关于食进展的教育提供实用信息.
- 突出早期口服和肠道养对肠道适应的重要性.
主要方法:
- 对当前养方式和策略的文献综述.
- 对影响儿童SBS养进步的因素的分析.
- 综合信息,以便在临床环境和护理人员教育中切实应用.
主要成果:
- 早期开始口服和肠道养对于肠道适应和预防食物厌恶至关重要.
- 饮食修改和适当的养方式是管理不耐受和吸收不良的关键.
- 要克服养挑战,通常需要采用多学科的方法.
结论:
- 推进肠道和口腔营养对于患有肠道衰竭的儿童至关重要,促进自主性和改善结果.
- 关于养策略和并发症管理的护理人员教育对于成功的营养康复至关重要.
- 对优化养方案的进一步研究可以提高肠道适应和生活质量.
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