先天性心脏病婴儿术后早期高能量密度奶粉喂养对康复效果及营养状态的影响  

Influence of early high-energy-density milk powder feeding on recovery and nutritional status in infants with congenital heart disease after surgery

作　　者：董甜甜 李青 何飞 张琦 郭士勇 DONG Tiantian;LI Qing;HE Fei;ZHANG Qi;GUO Shiyong(Xuzhou Children′s Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000)

机构地区：[1]徐州医科大学附属徐州儿童医院,江苏徐州221000

出　　处：《实用临床医药杂志》2024年第22期123-126,131,共5页Journal of Clinical Medicine in Practice

基　　金：江苏省徐州儿童医院科研项目(22040412)。

摘　　要：目的探讨先天性心脏病婴儿术后早期高能量密度奶粉喂养对康复效果及营养状态的影响。方法选取82例先天性心脏病婴儿,随机分为对照组(早期普通奶粉喂养)和研究组(早期高能量密度奶粉喂养),每组41例。比较2组康复效果、营养状态、喂养情况和心功能。结果研究组机械通气时间、CICU治疗时间、住院时间短于对照组,差异有统计学意义(P<0.05)。与术前比较,2组术后3个月PA、RBP、TRF、ALB水平升高,差异有统计学意义(P<0.05);术后3个月时,研究组PA、RBP、TRF、ALB水平高于对照组,差异有统计学意义(P<0.05)。与术前比较,2组术后3个月身高、体质量均提高,差异有统计学意义(P<0.05);研究组术后3个月身高、体质量高于对照组,差异有统计学意义(P<0.05)。与对照组比较,研究组喂养不足率更低,喂养适当率更高,差异均有统计学意义(P<0.05)。研究组心功能优于对照组,心力衰竭总发生率更低,差异有统计学意义(P<0.05)。结论婴儿先天性心脏病术后早期高能量密度奶粉喂养可促进患儿更快康复,改善营养状态,且喂养更为适当,患儿心衰更低。Objective To explore the influence of early high-energy-density milk powder feeding on recovery and nutritional status in infants with congenital heart disease after surgery.Methods A total of 82 infants with congenital heart disease were selected and randomly divided into control group(early routine formula feeding)and study group(early high-energy-density formula feeding),with 41 cases in each group.The recovery outcomes,nutritional status,feeding conditions,and cardiac function were compared between the two groups.Results Mechanical ventilation time,treatment duration in Cardiac Intensive Care Unit(CICU),and hospital stay in the study group were significantly shorter than those in the control group(P<0.05).Compared with preoperative levels,the levels of prealbumin(PA),retinol-binding protein(RBP),transferrin(TRF)and albumin(ALB)increased significantly in both groups at 3 months after operation(P<0.05);at 3 months after operation,the levels of PA,RBP,TRF and ALB in the study group were significantly higher than those in the control group(P<0.05).Compared with preoperative measurements,both groups showed significant improvements in height and body weight at 3 months after operation(P<0.05);the height and body weight of the study group were significantly higher than those of the control group at 3 months after operation(P<0.05).Compared with the control group,the study group had a significant lower rate of inadequate feeding and a significant higher rate of appropriate feeding(P<0.05).Cardiac function of the study group was significantly better than that of the control group(P<0.05).Conclusion Early high-energy-density milk powder feeding after congenital heart disease surgery in infants can promote faster recovery,improve nutritional status,and result in more appropriate feeding,with a lower incidence of heart failure.

关 键 词：先天性心脏病 婴儿 营养状态 心功能 康复 

分 类 号：R725.4[医药卫生—儿科] R723[医药卫生—临床医学] R339.3