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Nasogastric or nasojejunal feeding in pediatric acute pancreatitis: a randomized controlled trial

World Journal of Pediatrics 2021年第5期17卷 536-543页

作者： Hong Zhao Yan Han Ke-Rong Peng You-You Luo Jin-Dan Yu You-Hong Fang Jie Chen Jin-Gan Lou Department of Gastroenterology The Children's HospitalZhejiang University School of MedicineHangzhou 310052China National Clinical Research Center for Child Health The Children's HospitalZhejiang University School of MedicineHangzhou 310052China

Background The aim of this study was to compare nasogastric(NG)feeding with nasojejunal(NJ)feeding when treating pediatric patients with acute pancreatitis(AP)..Methods We performed a single-center,prospective,randomized,active-controlled trial involving 77 pediatric patients with AP from April 2014 to December *** patients were randomized into two groups:the NG tube feeding group(34 patients)and the NJ tube feeding group(33 patients).The primary outcome measures included the enteral nutrition intoler-ance,the length of tube feeding time,the recurrent pain of pancreatitis and *** A total of 62 patients with AP(31 patients for each group)came into the final *** differences were found in baseline characteristics,pediatric AP score and computed tomography severity score between the lwo ***(9.7%)patients in the NG group and one(3.2%)patient in the NJ group developed intolerance(relative risk=3.00,95%confidence interval 0.33-27.29,P=0.612).The tube feeding time and length of hospital stay of the NG group were significantly shorter than those of the NJ group(P=0.016 and 0.027,respectively).No patient died in the *** significant differences were found in recurrent pain,complications,nutrition delivery efficacy,and side effects between the two *** NG tube feeding appears to be effective and safe for acute pediatric pancreatitis compared with NJ tube *** addition,high qualifed,large sample sized,randomized controlled trials in pediatric population are needed.

关键词： Acute pancreatitis enteral nutrition enteral nutrition intolerance Length of hospital stay Tube feeding time

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Risk Factors of Enternal nutrition intolerance in Septic Patients:A Case-control Study

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Current Medical Science 2024年第2期44卷 328-332页

作者： Li-zhu WANG Yan XIANG Qian LI Yi-rong ZHU Jue FANG Xiao-dan LU Zhao-cai ZHANG Department of Nursing The Second Affiliated HospitalZhejiang University School of MedicineHangzhou 310009China Department of Critical Care Medicine The Second Affiliated HospitalZhejiang University School of MedicineHangzhou 310009China Key Laboratory of the Diagnosis and Treatment for Severe Trauma and Burn of Zhejiang Province Hangzhou 310009China Zhejiang Province Clinical Research Center for Emergency and Critical Care Medicine Hangzhou 310009China

Objective:This study aimed to investigate the incidence of enteral nutrition intolerance(ENI)in patients with sepsis and explore potential risk ***:A case-control study was conducted in patients with sepsis who were receiving enteral nutrition(EN)at a tertiary hospital in *** included patients were divided into the ENI group and the non-ENI *** and multivariate analyses were performed to identify the risk factors for ***:A total of 859 patients were included in the *** them,288(33.53%)patients experienced symptoms of ENI,including diarrhea,vomiting,bloating,and gastric *** regression analysis revealed that the Acute Physiology and Chronic Health Evaluation H(APACHE H)score,thoracocentesis,and usage of cardiotonic drugs(namely,inotropes)were independent predictors of the ***:The incidence of ENI is relatively high in patients with sepsis,especially in those who have higher APACHE H scores,have undergone thoracocentesis,and have received inotropes.

关键词： sepsis enteral nutrition intolerance influencing factor

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