高流量鼻导管氧疗对毛细支气管炎患儿早期肠内营养相关不良事件的影响  

The significance of early enteral nutrition in children with bronchiolitis on high-flow nasal cannula(HFNC)therapy

作　　者：杨希晨[1] YANG Xi-chen(Department of paediatrics,The Jiangyin People′s Hospital affiliated to the Medicalcollege of Southeast University,Jiangyin 214400,China)

机构地区：[1]东南大学医学院附属江阴市人民医院儿科,江苏江阴214400

出　　处：《吉林医学》2022年第1期263-265,共3页Jilin Medical Journal

摘　　要：目的:通过研究高流量鼻导管氧疗(HFNC)中毛细支气管炎患儿肠内营养相关不良事件(AEs)的发生率及对临床结果的影响,探寻HFNC治疗毛细支气管炎患儿期间,进行早期肠内营养的意义。方法:回顾性研究入住并接受HFNC的年龄≤24个月的毛细支气管炎患儿,统计分析AEs发生率、AEs发生时呼吸支持水平、PICU监护时间、HFNC使用时间、住院时间、总氧疗时间及住院总费用等情况。结果:共有64名患儿纳入研究,AEs发生率低,与HFNC的呼吸支持水平及肠内营养方式无关。早期喂养组患儿的PICU监护时间、HFNC使用时间及住院总费用均较晚期喂养组少。结论:在此次单一机构的队列研究中,AEs少见,对使用HFNC的毛细支气管炎患儿进行早期肠内营养是安全的,有利于临床结局。Objective This study aims to evaluate the incidence of feeding-related adverse events(AEs)and the safety in bronchiolitis children with enteral nutrition on high-flow nasal cannula(HFNC)therapy.Method This retrospective study included children≤24-month-old with bronchiolitis receiving HFNC in PICU.Data included demographics,respiratory support level during feeding,and feeding-related AEs,PICU monitoring time,HFNC Use time,residence time,total oxygen therapy time and total hospitalization expenses were statistically analyzed.Results 64 of children were included,the incidence of AEs was low,which was not related to the branch level of HFNC and the mode of enternal nutrition.Children in the early feeding group had a shorter PICU length of stay,shorter duration of HFNC use and total hospitalization expenses,than children in the late feeding group.Conclusion In this study,feeding-related AEs were rare and not related to the delivered level of respiratory support.It is safe to initiate early enteral nutrition in bronchiolitis children on HFNC support.

关 键 词：毛细支气管炎 高流量鼻导管氧疗 喂养相关不良事件 肠内营养 

分 类 号：R473.72[医药卫生—护理学]