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陈秀玲,张崇健,吴岚.新生儿心脏术后早期喂养达标对住院期间预后的影响[J].上海护理,2019,19(12):
新生儿心脏术后早期喂养达标对住院期间预后的影响
DOI：
中文关键词:  心脏手术, 先天性心脏病, 预后, 肠内营养, 新生儿
英文关键词:Cardiac  surgery, Congenital  heart disease, outcomes, enteral  nutrition, Neonate
基金项目:广东省省级科技计划项目
作者单位E-mail
陈秀玲 广东省人民医院 593295303@qq.com 
张崇健 广东省人民医院  
吴岚* 广东省人民医院 549399758@qq.com 
摘要点击次数: 1958
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中文摘要:
      目的：评估新生儿体外循环根治性手术后早期喂养达标与住院期间短期预后的关系。方法：回顾性分析了42例入住心脏外科ICU的新生儿患者，收集记录每日喂养量及住院期间的生化检验和临床预后事件。结果：以术后一周内的每日最大喂养量达到120ml/kg将新生儿患者分为喂养达标组（≥120ml/kg）和喂养不达标组（＜120ml/kg），喂养不达标组术后机械通气时间明显延长（118小时VS 71小时，P=0.002）;术后ICU滞留时间明显延长（322.33小时 VS 225.68小时，P=0.001）;术后住院时间明显延长（19.64天VS15.03天，P=0.014）;院内感染发生率更高（63.6% VS 25.8%，P=0.024）结论：新生儿心脏术后一周内每日最大喂养量超过120ml/kg可以改善住院期间短期预后。
英文摘要:
      Objective To determine the relationship between early adequate enteral nutrition intake and hospital outcomes following neonatal biventricular cardiopulmonary bypass surgery.Methods A retrospective study was conducted of daily enteral feeding amount in the cardiovascular surgical intensive care unit of a tertiary hospital. Daily feeding amount and hospital outcomes were assessed in 42 neonates.Results Neonates were separated into goal-achieved group ( received a max feeding amount of ≥120ml/kg) and goal-not achieved group(received a max feeding amount of ＜120ml/kg during postoperative days 0–7.Goal-not achieved group was associated with a significantly increased duration of mechanical ventilation (118 hours VS 71 hours，P=0.002), time in intensive care (322.33 hours VS 225.68 hours, Log Rank=10.124，P=0.001), and stay in the hospital (19.64 days VS 15.03 days, Log Rank=6.027 ,P=0.014). Goal-not achieved group was also associated with a significant increase in nosocomial infection (63.6% VS 25.8%，P=0.024).Conclusion Max daily feeding amount ≥120ml/kg to neonates after open heart surgery was associated with better hospital outcomes.
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