术后体重增加率和临床结果在接受死性肠球炎手术的患者中
相关实验视频
Updated: Jan 11, 2026

08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
17.1K
Haifeng Geng1, Wenqiang Sun1, Lidan Qian1
1Department of Neonatology, Children's Hospital of Soochow University, Suzhou, China.
Translational pediatrics
|November 11, 2025
概括
经过死性肠球炎 (NEC) 手术的婴儿,体重增加率低 (LRWG),神经发育结果较差. 优化肠道长度和营养是改善NEC患者预后的关键.
科学领域:
- 新生儿手术 新生儿手术
- 儿科胃肠病学 儿科胃肠病学
- 发育儿科 发育儿科
背景情况:
- 死性肠球炎 (NEC) 是一种严重的新生儿疾病,死亡率高,患病率长期.
- 幸存者经常面临生长问题和神经发育挑战.
- 在NEC患者中影响术后体重增加的因素对于改善结果至关重要.
研究的目的:
- 分析影响NEC手术的婴儿手术后体重增加的因素.
- 评估术后体重增加率对短期临床结果的影响.
主要方法:
- 对80名患有NEC的婴儿进行了肠道手术的回顾性研究 (2014-2022年).
- 患者分为低体重增长率 (LRWG) 和高体重增长率 (HRWG) 的两组 (值:≥10 g/kg/d).
- 用于识别LRWG风险因素的物流回归;进行身体和神经发育评估.
主要成果:
- 肠附近的长度,抗生素的持续时间和进入肠道养的时间是LRWG的风险因素.
- 与HRWG组相比,LRWG组表现出明显较差的神经发育结果 (较低的NBNA分数).
- LRWG与精细运动技能,语言和生长参数 (LAZ,WAZ,HcAZ) 的缺陷有关,直至24个月的校正年龄.
结论:
- 在NEC手术后体重增加率低与身体和中枢神经系统发育受损有关.
- 保持肠道长度和优化营养管理对于更好的外科手术结果和NEC患者的长期预后至关重要.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
532
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
532
Aneurysm IV: Nursing Management
364
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
364
Inflammatory Bowel Disease V: Surgical Management
430
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
430
Peptic Ulcer Disease V: Surgical Management and Nursing Care
798
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
798
Peripheral Artery Disease V: Postoperative Nursing Management
360
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
360
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
797
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
797
