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脐动脉多普勒异常的早产儿坏死性小肠结肠炎风险及喂养干预措施

Risk of necrotizing enterocolitis and feeding interventions for preterm infants with abnormal umbilical artery Doppler.

作者信息

Geary Erin

机构信息

Pediatrix Medical Group, Baylor South Dallas, Dallas, TX 75205, USA.

出版信息

Neonatal Netw. 2013 Jan-Feb;32(1):5-15. doi: 10.1891/0730-0832.32.1.5.

DOI:10.1891/0730-0832.32.1.5
PMID:23318202
Abstract

Infants exposed to absent or reversed end-diastolic flow (ARE DF) in utero may be at an increased risk of developing necrotizing enterocolitis (NEC). This article reviews placental function and the development of ARE DF. Studies examining the relationship between AREDF and NEC are reviewed, yet research remains inconclusive regarding this relationship. Recent studies reveal that early minimal enteral feeding does not increase the incidence of NEC in infants with AREDF. Initiation and advancement of enteral feedings should be monitored closely in this subset of the neonatal intensive care unit (NICU) population.

摘要

子宫内出现舒张末期血流缺失或反向(ARE DF)的婴儿发生坏死性小肠结肠炎(NEC)的风险可能会增加。本文综述了胎盘功能以及ARE DF的发展情况。对研究ARE DF与NEC之间关系的研究进行了综述,但关于这种关系的研究仍无定论。最近的研究表明,早期微量肠内喂养不会增加患有ARE DF的婴儿发生NEC的发生率。对于新生儿重症监护病房(NICU)中的这一亚组人群,应密切监测肠内喂养的开始和进展情况。

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Risk of necrotizing enterocolitis and feeding interventions for preterm infants with abnormal umbilical artery Doppler.脐动脉多普勒异常的早产儿坏死性小肠结肠炎风险及喂养干预措施
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