Zarei-Shargh Parisa, Yuzbashian Emad, Mehdizadeh-Hakkak Atieh, Khorasanchi Zahra, Norouzy Abdolreza, Khademi Gholamreza, Imani Bahareh
Department of Nutrition, Varastegan Institute for Medical Sciences, Mashhad, Iran.
Student Research Committee, Department of Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran.
Middle East J Dig Dis. 2020 Apr;12(2):116-122. doi: 10.34172/mejdd.2020.171.
BACKGROUND The aim of this study was to evaluate postoperative nutritional status in patients who underwent operations due to congenital gastrointestinal anomalies in surgical neonatal intensive care units (NICUs) and to investigate the role of nutrition support teams (NSTs) on the outcome. METHODS A retrospective clinical study was carried out at two NICUs in Dr. Sheikh Pediatric Hospital, Mashhad, Iran. One of the NICUs was supported by NST and the other was not. A total of 120 patients were included through a non-random simple sampling. Different variables such as age, sex, prematurity, type of anomaly, birth weight, use of vasoactive drugs, weight gain in NICU, length of NICU stay, postoperative enteral nutrition initiation, duration of mechanical ventilation, mortality rate, maximum of blood sugar, the amount of calorie delivered to the calorie requirement ratio, and distribution of energy from enteral or parenteral roots were compared between the patients of two NICUs. RESULTS Median weight gain and the amount of calorie delivered during NICU stay in subjects of NSTsupported NICU was significantly more than other NICU. There was no significant difference in the length of NICU stay, enteral nutrition initiation after the operation, ventilation days, and percent of mortality between the two groups. The percentage of enteral feeding was also increased by about 2.8%, which was not significant. CONCLUSION NST could increase post-operative weight gain and calorie delivery in patients as well as providing an increase in enteral feeding rather than parenteral.
背景 本研究旨在评估在外科新生儿重症监护病房（NICU）因先天性胃肠道畸形接受手术的患者术后营养状况，并探讨营养支持团队（NST）对治疗结果的作用。方法 在伊朗马什哈德谢赫儿科医院的两个NICU进行了一项回顾性临床研究。其中一个NICU有NST支持，另一个没有。通过非随机简单抽样纳入了120例患者。比较了两个NICU患者的不同变量，如年龄、性别、早产、畸形类型、出生体重、血管活性药物的使用、NICU中的体重增加、NICU住院时间、术后肠内营养开始时间、机械通气持续时间、死亡率、血糖最高值、提供的热量与热量需求比值，以及肠内或肠外途径的能量分布。结果 在有NST支持的NICU患者中，NICU住院期间的体重增加中位数和热量提供量显著高于另一个NICU。两组在NICU住院时间、术后肠内营养开始时间、通气天数和死亡率百分比方面没有显著差异。肠内喂养的百分比也增加了约2.8%，但不显著。结论 NST可以增加患者术后的体重增加和热量提供，同时增加肠内喂养而非肠外喂养。
