四川大学学报（医学版）2023，Vol.54Issue(6)：1239-1244,6.DOI:10.12182/20231160104
早产儿呼吸支持模式与喂养不耐受的关系:一项回顾性队列研究
Association Between Different Modes of Respiratory Support and Feeding Intolerance in Preterm Infants:A Retrospective Cohort Study
摘要
Abstract
Objective To explore the relationship between different modes of respiratory support and feeding intolerance(FI)in preterm infants over the course of their hospitalization and to provide recommendations for the management of enteral feeding in preterm infants requiring respiratory support.Methods A retrospective analysis was performed with the preterm infants admitted to the Neonatal Intensive Care Unit(NICU),West China Second University Hospital,Sichuan University between June 2015 and November 2018.The modes of respiratory support were used as independent variables and FI was used as the outcome indicator.The preterm infants were grouped according to the specific modes of respiratory support they were on over the course of their hospitalization and the relationship between each mode of respiratory support and FI was compared.Results A total of 272 preterm infants were enrolled in the study.After adjusting for confounding factors,findings from logistics regression suggested that,compared with normobaric oxygen,high flow nasal cannula(HFNC)might reduce the incidence of FI(odds ratio[OR]=0.53,95％confidence interval[CI]:0.06-4.77),while other modes of respiratory support might increase the incidence of FI.Compared with nasal continuous positive airway pressure(NCPAP),bilevel positive airway pressure(BIPAP)and invasive ventilation might increase the incidence of FI,with the adjusted OR being 1.31 and 1.69,and 95％CI being 0.67-2.55 and 0.65-4.41,respectively.The incidence of FI in BIPAP and invasive ventilation was similar(adjusted OR=1.00,95％CI:0.41-2.42).However,the P-values of the above results were all greater than 0.05.Conclusion HFNC has the lowest incidence of FI in the respiratory support modes examined in this study.Attention should be paid to enteral feeding management when using NCPAP,BIPAP,and invasive ventilation to avoid the occurrence of FI.Given the limited sample size,further research is warranted to confirm the conclusion.关键词
早产儿/呼吸支持/喂养不耐受/肠内喂养/回顾性队列研究Key words
Preterm infants/Respiratory support/Feeding intolerance/Enteral feeding/Retrospective cohort study引用本文复制引用
张婷,冯艺,胡勇,应俊杰,王少璞,王华..早产儿呼吸支持模式与喂养不耐受的关系:一项回顾性队列研究[J].四川大学学报（医学版）,2023,54(6):1239-1244,6.基金项目
国家自然科学基金专项项目(No.82241036)资助 （No.82241036）
