在肝移植后患有胆道动症的儿童中,营养支持的充分性
Nicole Knebusch1,2,3, Manpreet Virk1,2, Moreshwar S Desai1,2
1Division of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA.
Nutrients
|January 10, 2026
概括
患有胆道缩的儿科肝移植接受者在移植后的第一周内获得了足够的营养支持. 婴儿的能量和蛋白质摄入量明显高于老年儿童,突出了年龄特定的营养需求.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 移植手术 移植手术
- 临床营养学 临床营养学
背景情况:
- 胆道缩症是一种复杂的疾病,需要在儿童中进行肝移植.
- 移植后的营养支持至关重要,但由于先前存在的因素而具有挑战性.
- 在儿科肝移植接受者中优化营养对于康复至关重要.
研究的目的:
- 评估儿科肝移植患者胆道缩的能量和蛋白质摄入量的充足性.
- 在儿科重症监护室 (PICU) 的第一周评估营养支持.
- 确定影响这群脆弱人群营养充足性的因素.
主要方法:
- 对138名肝移植后胆道缩的儿科患者进行了回顾性队列研究.
- 在PICU入院后的第一周内,对营养充足度 (肠道和肠外) 的分析.
- 婴儿与老年儿童之间实现的营养目标的比较.
主要成果:
- 结合肠道和肠外营养,在第一周达到98%的能量和101%的蛋白质充足度.
- 婴儿 (<1岁) 的营养充足率 (136%卡路里,157%蛋白质) 比较高.
- 年龄较大的儿童 (>1岁) 获得了0%的向营养目标.
结论:
- 儿科肝移植患者的胆道缩可以通过结合方法获得足够的营养支持.
- 年龄是一个关键因素,婴儿与老年儿童相比,显示出优越的营养供应.
- 需要量身定制的策略来解决儿科肝移植接受者的独特营养需求.
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