一项随机对照试验,比较重病新生儿的两种肠道食管安置技术
Norma Mejias Quinteiro1, Elenice Valentim Carmona, Klaus Schumacher
1Author Affiliations: School of Medical Sciences and Women's Hospital, State University of Campinas (UNICAMP) Campinas, São Paulo, Brazil (Dr Mejias Quinteiro); School of Nursing, State University of Campinas (UNICAMP) Campinas, São Paulo, Brazil (Dr Carmona); Women's Hospital, State University of Campinas (UNICAMP) Campinas, São Paulo, Brazil (Dr Schumacher); Departament of Pediatrics and School of Medical Sciences, State University of Campinas (UNICAMP) Campinas, São Paulo, Brazil(Dr Caldas).
在婴儿中,胃气 insufflation 没有改善输液管安置的成功. 这种方法没有增加正确的安置率,也没有减少新生儿食的并发症.
科学领域:
- 新生儿医学
- 儿童胃肠病学
- 医疗器械技术
背景情况:
- 食不耐受性在婴儿中很常见,通常需要输卵管食以获得肠道营养.
- 输卵管安置成功率可能有所不同,影响营养输送.
研究的目的:
- 为了比较胃气 insufflation 的有效性,帮助婴儿安置透气管.
- 评估与皮洛里克后养相关的潜在并发症.
主要方法:
- 一个新生儿单位的随机对照试验比较了胃气 insufflation (干预组) 与标准方法 (对照组).
- 正确的管位被放射证实为远端到达十二指肠 (第三/第四部分).
主要成果:
- 在两组中,正确安置输液管的成功率相同 (45. 4%).
- 两组之间出生体重,妊娠年龄或手术时的年龄没有显著差异.
- 两名婴儿出现并发症,包括死性肠球炎和阴穿孔,但与输入管程序无关.
结论:
- 胃空气注入不会提高婴儿输液管安置的成功率.
- 使用胃空气灌气并没有影响与手术相关的并发症率.
- 进一步的研究可能会探索替代方法来提高输送管的放置精度和安全性.
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