在新生儿重症监护病房住院的早产新生儿中,开始摄取食物及其预测因素:多中心研究,亚的斯亚贝巴
Mehuba Hassen1, Mekonen Adimasu Kebede2, Erdaw Tachbele2
1Black Lion Hospital, College of Health Sciences, Addis Ababa University, Ethiopia.
SAGE open medicine
|December 19, 2025
概括
在早产新生儿中,延迟的营养开始发生在41小时的中位数,比推时间晚得多. 诸如低妊娠年龄和呼吸应急综合征等因素导致了延迟,突出了及时干预的必要性.
科学领域:
- 新生儿重症监护中心
- 儿童营养学 儿童营养学
- 临床研究 临床研究
背景情况:
- 延迟的食物养开始对新生儿构成重大风险.
- 关于当前医疗保健机构的食启动实践的数据有限.
研究的目的:
- 为了确定在早产新生儿中开始食用食物的时间.
- 确定导致食物养延迟的因素.
主要方法:
- 在NICU中对153名新生儿进行前性队列研究.
- 通过Kobo收集的数据,使用STATA进行分析.
- 采用了卡普兰-梅尔曲线和考克斯比例危险模型.
主要成果:
- 85%的新生儿开始食粮养;中位数的开始时间为41小时.
- 开始食用食物的发病率为每100人/小时1.9人.
- 与延迟相关的因素包括妊娠年龄<34周,APGAR分数低,对于妊娠年龄来说小,剖腹产,早产状态,RDS和血液动力学不稳定性.
结论:
- 观测到,食开始的显著延迟超过了24小时的指导标准.
- 确定了几种临床因素与延迟养有显著关联.
- 医疗保健提供者应优先考虑在24小时内对所有新生儿进行营养补充,无论风险因素如何.
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