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早产儿可以在产科病房得到护理,且风险不会增加,如有必要可通过喂食管出院。

Premature Babies Can Be Cared for in the Maternity Ward without an Increased Risk and Discharged with a Feeding Tube If Necessary.

作者信息

Rösch Lea, Hofstätter Edda, Krasnitzer-Leitner Franziska, Wald Martin

机构信息

Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Paracelsus Medical University, Salzburg 5020, Austria.

出版信息

Children (Basel). 2024 Apr 10;11(4):456. doi: 10.3390/children11040456.

Abstract

In general, premature babies are discharged home when they reach full self-feeding. We established a discharge management protocol which allows for discharging late preterm babies with a feeding tube if necessary. This retrospective study included 108 preterm infants (34+ weeks) born in 2019 and 2020. The preterm infants discharged with a feeding tube ( = 32) were born at 35.23 weeks' gestation (±0.884), with a birth weight of 2423 g (±375.1), and were discharged at 7.22 days (±3.63) and had a weight of 3466 g (±591.3) at the first outpatient visit around the expected birth date. The preterm infants discharged without a feeding tube were born at 35.97 weeks' gestation (±0.702) with a birth weight of 2589 g (±424.84), discharged home at 6.82 days (±7.11) and a weight of 3784 g (±621.8) at the first outpatient visit. The gestational week and birth weight were statistically significantly different between the groups, with a -value of <0.001 for each, and the length of hospital stay ( = 0.762) and weight at follow-up ( = 0.064) did not significantly differ. No infant required tube-feeding at the time of the first outpatient visit, i.e., the time of expected birth. Therefore, with well-thought-out management, it is possible and safe to discharge preterm infants home with a feeding tube.

摘要

一般来说,早产儿在能够完全自主进食时就可以出院回家。我们制定了一项出院管理方案,必要时允许晚期早产儿带着喂食管出院。这项回顾性研究纳入了2019年和2020年出生的108例早产儿(孕周≥34周)。带着喂食管出院的早产儿(n = 32)出生时孕周为35.23周(±0.884),出生体重为2423克(±375.1),在7.22天(±3.63)时出院,在预期出生日期左右的首次门诊就诊时体重为3466克(±591.3)。未带喂食管出院的早产儿出生时孕周为35.97周(±0.702),出生体重为2589克(±424.84),在6.82天(±7.11)时出院回家,首次门诊就诊时体重为3784克(±621.8)。两组之间的孕周和出生体重在统计学上有显著差异,每组的P值均<0.001,住院时间(P = 0.762)和随访时的体重(P = 0.064)没有显著差异。在首次门诊就诊时,即预期出生日期时,没有婴儿需要管饲喂养。因此,经过深思熟虑的管理,带着喂食管将早产儿安全出院回家是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e541/11049494/4528b792fa6f/children-11-00456-g001.jpg

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