Effects of formula milk feeding with high energy on postoperative outcomes and nutritional status of children with congenital heart disease
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摘要: 目的 探讨高能量密度配方奶喂养对儿科重症监护病房(PICU)先天性心脏病患儿术后转归及营养状态的影响。 方法 采用简单随机化法将PICU收治的105例先天性心脏病行心脏手术后患儿分为2组,对照组52例给予普通奶(每100 mL奶液能量为67 kcal)喂养,观察组53例给予蔼儿舒奶(每100 mL奶液能量为80~100 kcal)喂养。观察并比较2组患儿机械通气治疗时间、营养状态和心功能。 结果 观察组术后机械通气治疗时间短于对照组,差异有统计学意义(P<0.05); 观察组手术后前白蛋白(PA)、转铁蛋白(TRF)和视黄醇结合蛋白(RBP)水平均高于对照组,差异有统计学意义(P<0.05); 观察组术后心功能情况优于对照组,差异有统计学意义(P<0.05)。 结论 高能量密度配方奶喂养能够改善PICU先天性心脏病患儿的营养状态,缩短机械通气治疗时间,改善心功能。Abstract: Objective To investigate the effect of formula milk feeding with high energy on postoperative outcomes and nutritional status of children with congenital heart disease in the pediatric intensive care unit(PICU). Methods According to the simple randomization method, 105 children with congenital heart disease who underwent cardiac surgery were divided into two groups. The control group(n=52)was given normal milk feeding(with energy of 67 kcal per 100 mL milk), and the observation group(n=53)was given Alfaré milk feeding(with energy of 80 to 100 kcal per 100 mL milk). Mechanical ventilation time for the treatment, nutritional status and cardiac function of the two groups were observed and compared. Results The postoperative mechanical ventilation time in the observation group was shorter than that in the control group(P<0.05); the levels of postoperative albumin(PA), transferrin(TRF), and retinol binding protein(RBP)in the observation group were higher than those in the control group(P<0.05). Postoperative cardiac function of the observation group was significantly better than that of the control group(P<0.05). Conclusion Formula milk feeding with high energy can improve the nutritional status of children with congenital heart disease in PICU, shorten the treatment time of mechanical ventilation, and improve cardiac function.
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