| 早期肠内营养对先天性室间隔缺损修补术后病儿预后的影响 |
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| 引用本文： | 张秀萍,杜占慧,曹倩,纪志娴,蒋玉红,全贤洲.早期肠内营养对先天性室间隔缺损修补术后病儿预后的影响[J].肠外与肠内营养,2019(2):99-103. |
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| 作者姓名： | 张秀萍 杜占慧 曹倩 纪志娴 蒋玉红 全贤洲 |
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| 作者单位： | 青岛大学附属妇女儿童医院青岛市妇女儿童医院心脏中心 |
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| 基金项目： | 青岛市2017年度医药科研指导计划(2017-WJZD109) |
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| 摘 要： | 目的:探讨早期肠内营养(EEN)对先天性室间隔缺损体外修补术后病儿预后的影响。方法:选取在我院行体外循环下先天性室间隔缺损修补术的36例病儿为研究对象,随机分为观察组和对照组,分别给予规范化EEN和常规营养支持。观察两组病儿的术后并发症发生率、喂养状况、胃肠功能、达到全肠内营养(TEN)的时间以及心脏监护室(CICU)滞留时间。结果:观察组和对照组术后并发症(包括呼吸机相关性肺炎、胸腔积液及心率失常)发生率分别为25.0%和11.8%,差异无统计学意义(P> 0.05);观察组病儿术后腹胀、呕吐、喂养不耐受及喂养中断的发生率明显低于对照组(P <0.05);观察组病儿术后胃黏膜pH值高于对照组,而术后24 h和48 h血糖、胃泌素、胃动素均低于对照组,差异均具有统计学意义(P <0.05);与对照组相比,观察组病儿术后达到TEN的时间(68.3±14.7)h,及CICU滞留时间(42.3±10.2)h缩短(P <0.05)。结论:先天性室间隔缺损修补术后给予EEN可以改善病儿糖代谢紊乱,促进术后胃肠功能的恢复,缩短CICU滞留时间,改善病儿预后。
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| 关 键 词： | 早期肠内营养 先天性室间隔缺损 婴儿 胃肠功能 手术预后 |
Early enteral nutrition in children after repair of congenital ventricular septal defect and its effect on clinical outcome |
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| ZHANG Xiu-ping,DU Zhan-hui,CAO Qian,JI Zhi-xian,JIANG Yu-hong,QUAN Xian-zhou.Early enteral nutrition in children after repair of congenital ventricular septal defect and its effect on clinical outcome[J].Parenteral & Enteral Nutrition,2019(2):99-103. |
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| Authors: | ZHANG Xiu-ping DU Zhan-hui CAO Qian JI Zhi-xian JIANG Yu-hong QUAN Xian-zhou |
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| Institution: | (Women's and children's Hospital Affiliated to Qingdao University, Heart Center of Qingdao womenand children's Hospital, Qingdao 266034, Shandong, China) |
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| Abstract: | ZHANG Xiu-ping;DU Zhan-hui;CAO Qian;JI Zhi-xian;JIANG Yu-hong;QUAN Xian-zhou(Women's and children's Hospital Affiliated to Qingdao University, Heart Center of Qingdao womenand children's Hospital, Qingdao 266034, Shandong, China) |
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| Keywords: | Early enteral nutrition Congenital ventricular septal defect Infant Gastrointestinal function Outcome |
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