通过输卵管排出的早产婴儿的食结果
Anisa Lakhani1, Barbara McElhanon2, Zhulin He2
1Department of Pediatrics, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA, USA. anisa.lakhani@emory.edu.
概括
使用鼻胃管 (NGT) 出院的早产婴儿比使用手术放置的养管 (spFT) 的婴儿更有可能获得全口养. 这项研究指导了在患有输卵管依赖症风险的婴儿的输卵管选择.
科学领域:
- 新生儿医学 新生儿医学
- 儿科胃肠病学 儿科胃肠病学
- 临床营养学 临床营养学
背景情况:
- 在早产婴儿中,食困难很常见.
- 食管 (FT) 通常是营养支持所必需的.
- 优化FT选择和管理对于婴儿发育至关重要.
研究的目的:
- 为了比较早产婴儿用鼻胃管 (NGT) 排出的养结果与手术放置的养管 (spFT).
- 为了确定与12个月校正年龄的输卵管依赖 (FTD) 相关的因素.
- 为了向临床实践提供有关早产婴儿FT使用的信息.
主要方法:
- 对早产婴儿 (妊娠年龄≤30周) 的回顾性队列研究,这些婴儿在2012-2020年期间因NGT或spFT出院.
- 主要结局:12个月的年龄校正了养状况 (全口服养与输卵管依赖).
- 分析包括后勤回归来确定与FTD相关的因素和FT并发症的医疗利用.
主要成果:
- 与spFT (24%) 相比,接受NGT的婴儿获得全口服养的比率显著更高 (76%).
- 食管依赖与怀孕年龄相比较小,严重的支气管肺形症和连续食方案有关.
- 出院时增加的口服摄入量与输卵管依赖的几率降低有关,而spFT与更高的并发症医疗利用率有关.
结论:
- 鼻胃管的使用可能与与手术放置的养管相比,在早产婴儿中更好的口服养结果有关.
- 诸如SGA,BPD和养类型等因素影响长期养结果.
- 研究结果支持个性化的输卵管选择和量身定制的后续策略,以尽量减少输卵管依赖和并发症.
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