早产儿经鼻胃管喂养过渡至全口服喂养：何时应拔除鼻胃管？
Transitioning from gavage to full oral feeds in premature infants: When should we discontinue the nasogastric tube?
机构信息
Division of Neonatology, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH, USA.
Neonatal and Infant Feeding Disorders Research Program, Center for Perinatal Research, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
出版信息
J Perinatol. 2019 Sep;39(9):1257-1262. doi: 10.1038/s41372-019-0446-2. Epub 2019 Jul 31.
BACKGROUND
The optimal timing for discontinuation of nasogastric (NG) tube in premature infants transitioning to oral feeding is not known.
OBJECTIVE
To determine whether early removal of NG-tube is appropriate in low-risk premature infants.
METHODS
Prospectively collected data of premature infants started on oral feeds at ≤34 weeks gestation were reviewed. Infants were categorized into 'early' or 'late' NG-removal groups based on the proportion of oral intake in the preceding 2-days, i.e., 60-79% or 80-100% of the total volume, respectively.
RESULTS
In total 50 infants in early group vs. 43 in late group. Both groups had similar oral intake and weight change in the subsequent 2-days post-NG removal. The days from NG-removal to target oral volume, and to hospital discharge trended shorter in early vs. late group.
CONCLUSIONS
Discontinuing NG-tube when the oral feeding competency reaches ~75% of prescribed feeding volume is safe and appropriate in low-risk premature infants.
背景
早产儿经口喂养时停止鼻胃管（NG）的最佳时机尚不清楚。
目的
确定在低危早产儿中，早期拔除 NG 管是否合适。
方法
回顾性收集了胎龄≤34 周开始经口喂养的早产儿的数据。根据前 2 天的口服摄入量占总摄入量的比例（分别为 60-79%或 80-100%），将婴儿分为“早期”或“晚期”NG 移除组。
结果
早期组有 50 例婴儿，晚期组有 43 例婴儿。两组在 NG 移除后 2 天内的口服摄入量和体重变化相似。从 NG 移除到目标口服量以及出院的天数，早期组比晚期组趋势更短。
结论
在低危早产儿中，当口服喂养能力达到规定喂养量的~75%时，停止 NG 管是安全且合适的。
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