Nasogastric Tube Feeding in Infants on Peritoneal Dialysis

Nasogastric Tube Feeding in Infants on Peritoneal Dialysis
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腹膜透析婴儿的鼻胃管喂养

DOI:
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发表时间:
1996
影响因子:
2.8
通讯作者:
L. Johnson
L. Johnson
中科院分区:
医学3区
文献类型:
--
作者:
B. Warady;Lynette Weis;L. Johnson

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肠内营养支持是为接受长期腹膜透析的婴儿提供护理的重要组成部分。在大多数已发表的关于这一主题的经验中,鼻胃管的使用有助于提供所需的卡路里和蛋白质摄入量,并改善了患者的预后。鼻胃营养支持的优点包括易于给药,而反复呕吐仍然是与其使用相关的最麻烦和最常见的短期并发症。口腔运动发育受损也可能是非口腔喂养造成的,应该在整个管状喂养过程中加以解决。自从将NG喂养作为透析患者护理的常规组成部分以来,接受CPD治疗的终末期SRD婴儿的结局明显改善。虽然与NG喂养相关的并发症已经被记录在案,但与这种营养补充途径相关的好处一直是巨大的。目前,越来越多的接受慢性阻塞性肺病的婴幼儿通过使用胃造口管/按钮接受补充营养(31)。然而,在慢性阻塞性肺疾病人群中,与这种治疗方法相关的风险,特别是在感染方面的风险,尚未得到很好的定义(32)。一旦确定了胃造瘘管/纽扣放置的风险/效益比,未来的努力应更好地确定两种肠内营养支持途径(例如NG管、胃造瘘管/纽扣)如何最好地相互补充。
Enteral nutritional support is an important component of the care provided to infants receiving long-term peritoneal dialysis. In the majority of published experiences on this subject, the use of the nasogastric tube has facilitated the provision of required calorie and protein intake and resulted in an improved patient outcome. Advantages of the nasogastric route of nutritional support include the ease of administration, while recurrent emesis remains the most troublesome and frequent shortterm complication associated with its use. Impaired oralmotor development may also result from nonoral feeding and should be addressed throughout the course of tube feeding. The outcome of infants with ESRD receiving CPD has markedly improved since the introduction of NG feedings as a regular component of dialysis patient care. While complications associated with NG feedings have been documented, the benefits associated with this route of nutritional supplementation have been great. Currently, an increasing number of infants/ young children on CPD are receiving supplemental nutrition with the use of the gastrostomy tube/button (31). However, the risks associated with this route of therapy in the CPD population, especially in terms of infection, are as yet not well defined (32). Once the risk/benefit ratio of gastrostomy tube/button placement is determined, future efforts should be directed towards better defining how the two routes of enteral nutritional support (e.g., NG tube, gastrostomy tube/button) may best complement one another.
在家鼻胃管喂养:营养不良患者辅助营养支持的一种方法。
DOI: 10.1093/ajcn/34.6.1131
发表时间: 1981
期刊: The American journal of clinical nutrition
影响因子: --
作者:
Greene,HL;Helinek,GL;Folk,CC;Courtney,M;Thompson,S;MacDonellJr,RC;Lukens,JN
通讯作者: Lukens,JN
夜间鼻胃喂养的家庭教学。
DOI: 10.1177/0148607188012004392
发表时间: 1988
期刊: JPEN. Journal of parenteral and enteral nutrition
影响因子: --
作者:
Berezin,S;Medow,MS;Bernarducci,J;Newman,LJ
通讯作者: Newman,LJ
婴儿期慢性肾功能不全儿童的进行性脑病。
DOI: 10.1038/ki.1982.50
发表时间: 1982
影响因子: 19.6
作者:
Rotundo,A;Nevins,TE;Lipton,M;Lockman,LA;Mauer,SM;Michael,AF
通讯作者: Michael,AF
婴儿和儿童的管饲。
DOI: 10.1016/s0031-3955(16)34794-0
发表时间: 1985
影响因子: 2.6
作者:
Moore,MC;Greene,HL
通讯作者: Greene,HL
肾功能衰竭婴儿的营养需求。
DOI: 10.1016/s0272-6386(86)80071-3
发表时间: 1986
期刊: American journal of kidney diseases : the official journal of the National Kidney Foundation
影响因子: --
作者:
Wassner,SJ;Abitbol,C;Alexander,S;Conley,S;Grupe,WE;Holliday,MA;Rigden,S;Salusky,IB
通讯作者: Salusky,IB