Zhang Ning,Liu Fengli,Ma Tongsheng,et al.Comparative study of early postoperative enteral nutrition in premature and low-birth-weight children with duodenal obstruction[J].Journal of Clinical Pediatric Surgery,,19():1118-1122,1129.[doi:10.3969/j.issn.1671-6353.2020.12.011]
Comparative study of early postoperative enteral nutrition in premature and low-birth-weight children with duodenal obstruction
- Keywords:
- Duodenal Obstruction/SU; Infant Premature; Infant; Low Birth Weight; Enteral Nutrition; Treatment Outcome; Comparative Study
- CLC:
- R726;R574.51;R574.2
- Abstract:
- Objective To explore the feasibility and necessity of early postoperative enteral nutrition in premature and low-birth-weight children with duodenal obstruction.Methods From January 2012 and June 2019,retrospective analysis was performed for clinical data of 73 premature and low-birth-weight neonates with duodenal obstruction.According to whether or not jejunal nutrient tube was used,they were divided into two groups of jejunal nutrition tube (treatment,n=37) and no jejunum nutrition tube (control,n=36).Differences in gestational age,birth weight,operative age,operative duration,period of postoperative ventilator,hospitalization stay,time of resuming eating,feeding intolerance & re-fasting,postoperative parenteral nutrition time,weight gain at discharge and prealbumin were detected at Week 1 post-operation and postoperative complications compared between two groups.Results No significant inter-group difference existed in gestational age,birth weight,operative age,operative duration,feeding intolerance & re-fasting,period of postoperative ventilator and postoperative complications (giving up treatment,anastomotic leakage/stenosis,adhesive ileus & reoperation),etc.(P>0.05).And no significant inter-group differences existed in gestational age,birth weight,operative age,operative duration,feeding intolerance & re-fasting after feeding,period of postoperative ventilator,postoperative complications (giving up treatment,anastomotic leakage/stenosis,adhesive ileus & reoperation) and cholestatic jaundice (direct bilirubin>2 mg/dl).Statistical differences were significant (P>0.05).Hospitalization stay,time of resuming eating and time of postoperative parenteral nutrition (PPN) in observation group[(16.4±3.4),(3.86±1.0),(12.9±2.3) days]were shorter than those in control group[(19.0±4.1),(6.0±1.3),(16.3±2.9) days],and the differences was statistically significant (P=0.004,0.000,0.000);weight gain at discharge and prealbumin were detected at Week 1 post-operation[(0.51±0.24) kg,(95.30±19.38) mg/l]in observation group were higher than those in control group[(0.31±0.22) kg,(82.86±14.98) mg/l].And the differences were statistically significant (P=0.000,0.003).Conclusion Early postoperative enteral nutrition in preterm low-birth-weight children with duodenal obstruction may facilitate the recovery of intestinal function,reduce the use time of intravenous nutrition,shorten hospitalization stay,improve nutritional status and lay a solid foundation for later catch-up growth while postoperative complications are not heightened.
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Memo
收稿日期:2020-06-08。
通讯作者:刘丰丽,Email:xzsetyywklfl@126.com