在新生儿重症监护室中实现极低出生体重婴儿的全口食:一项回顾性研究
Eva Proels1, Joleen Dako1,2
1Department of Pediatrics, Mercer University School of Medicine, Macon, Georgia, USA.
大多数极低出生体重 (ELBW) 的婴儿在新生儿重症监护室 (NICU) 出院之前无法完全口服养. 计划在家养可能会缩短婴儿护理室的停留时间.
科学领域:
- 新生儿学
- 儿童胃肠病学
- 临床营养
背景情况:
- 极低出生体重 (ELBW) 的婴儿通常需要在新生儿重症监护室 (NICU) 长时间的营养支持.
- 实现全口腔肠道养是婴儿排泄准备的关键里程碑.
研究的目的:
- 为了确定极低出生体重 (ELBW) 婴儿口服养的时间.
- 分析影响完全口服养的因素及其对新生儿重症监护室停留时间的影响.
主要方法:
- 对于在2021年7月至2022年12月出生的婴儿来说,这是一个回顾性图表.
- 在出院前死亡或转移的婴儿除外.
- 卡普兰-梅尔生存分析以估计完全口服养的时间 (最多153天).
主要成果:
- 25% 的 ELBW 婴儿在 94 天前获得了全口服养; 33. 3% 的婴儿在新生儿重症监护室出院前获得了全口服养.
- 在怀孕27-30周出生的婴儿中,完全口服的时间为82天.
- 没有获得全口的婴儿比获得完整口的婴儿晚出院12天 (P=0. 02).
结论:
- 大多数 ELBW 婴儿在新生儿重症监护室出院之前无法完全口服养.
- 延迟口服养与更长的NICU停留时间有关.
- 早期讨论家庭养方案可能有助于缩短幼儿护理中心的时间.
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