先天性心脏病新生儿和婴儿的最佳营养参数。
Optimal Nutrition Parameters for Neonates and Infants with Congenital Heart Disease.
机构信息
Department of Pediatrics, Faculty of Medicine, Gr. T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.
Department of Biology, Faculty of Biology, "Alexandru Ioan Cuza" University of Iasi, Bd. Carol I, 20A, 700505 Iasi, Romania.
出版信息
Nutrients. 2022 Apr 17;14(8):1671. doi: 10.3390/nu14081671.
Abstract
Congenital heart defects are known causes of malnutrition. Optimal nutritional management is paramount in improving short and long-term prognosis for neonates and infants with congenital heart malformations, as current strategies target preoperative and postoperative feeding requirements. Standardized enteral and/or parenteral feeding protocols, depending on the systemic implications of the cardiac defect, include the following common practices: diagnosing and managing feeding intolerance, choosing the right formula, and implementing a monitoring protocol. The latest guidelines from the American Society for Parenteral and Enteral Nutrition and the European Society of Paediatric and Neonatal Intensive Care, as well as a significant number of recent scientific studies, offer precious indications for establishing the best feeding parameters for neonates and infants with heart defects.
摘要
先天性心脏病是营养不良的已知原因。优化营养管理对于改善患有先天性心脏畸形的新生儿和婴儿的短期和长期预后至关重要，因为目前的策略针对的是术前和术后的喂养需求。根据心脏缺陷的全身影响，标准化的肠内和/或肠外喂养方案包括以下常见做法：诊断和管理喂养不耐受、选择正确的配方以及实施监测方案。美国肠外和肠内营养学会以及欧洲儿科和新生儿重症监护学会的最新指南以及大量最近的科学研究为确定患有心脏缺陷的新生儿和婴儿的最佳喂养参数提供了宝贵的依据。
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