早产儿实现口腔喂养的关键影响因素:印度尼西亚一家三级医院的启示。

IF 1.3 Q3 PEDIATRICS
International Journal of Pediatrics Pub Date : 2024-09-16 eCollection Date: 2024-01-01 DOI:10.1155/2024/8880297
Putri Maharani Tristanita Marsubrin, Ni Nyoman Berlian Aryadevi, Bernie Endyarni Medise, Yoga Devaera
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引用次数: 0

摘要

目的:有效的口腔喂养是早产儿必须达到的关键里程碑之一。虽然胎龄和出生体重已被认为是影响因素,但最近的研究发现了影响实现完全口腔喂养(FOF)的其他变量。本研究旨在描述早产儿实现全口喂养的相关因素。方法:这项回顾性队列研究调查了2016年7月至12月期间在雅加达Cipto Mangunkusumo博士综合医院住院的妊娠28周至34周早产儿。比较分析采用 Kruskal-Wallis 检验,多变量分析采用 Cox 回归评估影响 FOF 实现的因素。结果本研究纳入了 87 名符合纳入标准的早产儿。胎龄中位数为 33 周(IQR:3)。最常见的出生体重范围为 1500-1999 克(51.7%)。观察发现,婴儿从出生到首次喂养、全肠道喂养和 FOF 的中位持续时间分别为 1 天(IQR:1)、6 天(IQR:10)和 14 天(IQR:24)。值得注意的是,氧疗持续时间、脓毒症发作次数和输血次数与实现 FOF 所需的时间有显著关联。结论本研究发现,达到 FOF 所需的时间与氧疗持续时间、脓毒症发作和输血频率等因素之间存在明显关联。这些发现强调了在管理早产儿时考虑这些因素的重要性。不过,还需要进一步开展前瞻性研究,以确定影响早产儿喂养里程碑的其他因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Key Influences on Oral Feeding Achievement in Preterm Infants: Insights From a Tertiary Hospital in Indonesia.

Objective: Effective oral feeding is one of the critical milestones that must be achieved by preterm infants. While gestational age and birth weight have been recognized as influential factors, recent studies have found additional variables impacting the achievement of full oral feeding (FOF). This study is aimed at describing factors associated with the attainment of FOF in preterm infants. Methods: This retrospective cohort study examines preterm infants born between 28 and 34 weeks' gestation admitted to Dr. Cipto Mangunkusumo General Hospital in Jakarta between July and December 2016. Comparative analysis utilized the Kruskal-Wallis test, while Cox's regression was employed for multivariate analysis to assess factors influencing the achievement of FOF. Results: This study included 87 preterm infants meeting the inclusion criteria. The median gestational age was 33 weeks (IQR: 3). The most common birth weight range was 1500-1999 g (51.7%). Median durations from birth to the first feed, full enteral feed, and FOF were observed to be 1 day (IQR: 1), 6 days (IQR: 10), and 14 days (IQR: 24), respectively. Notably, the duration of oxygen therapy, episodes of sepsis, and frequency of blood transfusions showed significant associations with the time taken to achieve FOF. Conclusion: This study found significant associations between the time to achieve FOF and factors such as oxygen therapy duration, sepsis episodes, and frequency of blood transfusion. These findings highlight the importance of considering these factors in managing preterm infants. However, a further prospective study is warranted to identify additional factors that influence feeding milestones in preterm infants.

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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
0
审稿时长
4 weeks
期刊介绍: International Journal of Pediatrics is a peer-reviewed, open access journal that publishes original researcharticles, review articles, and clinical studies in all areas of pediatric research. The journal accepts submissions presented as an original article, short communication, case report, review article, systematic review, or letter to the editor.
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