新生儿肠闭锁一期吻合术后喂养不耐受与排便相关性分析。
Correlation analysis of feeding intolerance and defecation after primary anastomosis for neonatal intestinal atresia.
机构信息
Shenzhen Children's Hospital, Shenzhen, China.
出版信息
Pediatr Surg Int. 2023 Dec 22;40(1):26. doi: 10.1007/s00383-023-05603-x.
PURPOSE
To investigate the correlation between postoperative feeding intolerance and defecation, with a view to carrying out prognostic assessment and timely intervention for the recovery of postoperative gastrointestinal function.
METHODS
The 114 neonates with congenital intestinal atresia who underwent primary anastomosis admitted to Shenzhen Children's Hospital from January 2014 to December 2022 were studied, and the patients' basic information, intraoperative conditions, postoperative feeding and defecation, and hospitalization time were retrospectively analyzed.
RESULTS
The risk factors for feeding intolerance after primary anastomosis for intestinal atresia are the gestational days, the time of the first postoperative defecations, the number of defecations on the previous day and the average number of defecations before feeding.
CONCLUSION
The incidence of postoperative feeding intolerance is higher in preterm infants, and pediatricians can decide the timing of breastfeeding on the basis of the patients' defecation. The focus on accurate defecation may be more meaningful in determining and predicting postoperative feeding intolerance in the infants.
目的
探讨术后喂养不耐受与排便的相关性，以期对术后胃肠功能恢复进行预后评估和及时干预。
方法
回顾性分析 2014 年 1 月至 2022 年 12 月在深圳市儿童医院行一期吻合术的 114 例先天性肠闭锁患儿的基本信息、术中情况、术后喂养和排便情况及住院时间。
结果
一期吻合术治疗肠闭锁后发生喂养不耐受的危险因素有胎龄、术后首次排便时间、前 1 天排便次数和喂养前平均排便次数。
结论
早产儿术后喂养不耐受的发生率较高，儿科医生可根据患儿的排便情况决定母乳喂养的时机。准确记录排便次数对于判断和预测患儿术后喂养不耐受可能更有意义。
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