目的:将自由饮食摄入与计划性饮食能量摄入用于产程分娩中,分析其对分娩结局的影响。方法:选取2018年1月至2019年3月接收的106例产妇,随机分为观察组与对照组,各53例,对照组产程中根据自身意愿行自由饮食摄入,观察组产程中行计划性饮食...目的:将自由饮食摄入与计划性饮食能量摄入用于产程分娩中,分析其对分娩结局的影响。方法:选取2018年1月至2019年3月接收的106例产妇,随机分为观察组与对照组,各53例,对照组产程中根据自身意愿行自由饮食摄入,观察组产程中行计划性饮食摄入,对2组产程进展、分娩结局等进行比较分析。结果:观察组第一产程、干预至宫口开全时间与对照组相比,相对更短(P<0.05),2组第二产程相比,差异无统计学意义(P>0.05);2组干预前血钠、空腹血糖水平差异无统计学意义(P>0.05),观察组干预后血钠、空腹血糖水平与对照组相比,差异有统计学意义(P<0.05);观察组自然分娩率为98.11%,与对照组86.79%相比,相对更高(P<0.05),2组产程中呕吐率、产后出血率、胎儿窘迫率相比,差异无统计学意义(P>0.05);观察组新生儿脐静脉血p H值、5 min Apgar评分与对照组相比,差异无统计学意义(P>0.05)。结论:产程中对产妇实施计划性饮食能量摄入可促进自然分娩率,维持产妇血糖水平,缩短产程时间,值得应用。展开更多
Objective: To describe the effect of home nocturnal hemodialysis (NHD) in North American children. Study design: Four teenagers underwent NHD for 8 hours, 6 to 7 nights/week, using either central venous lines or fistu...Objective: To describe the effect of home nocturnal hemodialysis (NHD) in North American children. Study design: Four teenagers underwent NHD for 8 hours, 6 to 7 nights/week, using either central venous lines or fistulae for periods of 6 to 12 months. Blood flow approximated 200 mL/min, and dialysate flow was 300 mL/min; the dialysate contained potassium and phosphate. The procedure was remotely monitored. Results: The children had unrestricted diets and fluid allowance and did not require phosphate binders. Persistent relative hypotension developed in 2 of 4 children. Weekly Kt/V urea values were consistently >10; other biochemical measures varied. Quality of life and school attendance improved in 3 of 4 children. The workload and reported emotional burden of NHD was substantial. No significant complications occurred. Dialysate losses of calcium, phosphate and carnitine required supplementation. The annual cost per patient was ＄ 64,000 Canadian, which represented a 27% savings compared with thrice weekly in-center hemodialysis. Conclusions: NHD is feasible in selected children, allows free dietary and fluid intake, and improves patient wellbeing. The burden on the family is substantial, and NHD requires support of a dedicated multidisciplinary team.展开更多
文摘目的:将自由饮食摄入与计划性饮食能量摄入用于产程分娩中,分析其对分娩结局的影响。方法:选取2018年1月至2019年3月接收的106例产妇,随机分为观察组与对照组,各53例,对照组产程中根据自身意愿行自由饮食摄入,观察组产程中行计划性饮食摄入,对2组产程进展、分娩结局等进行比较分析。结果:观察组第一产程、干预至宫口开全时间与对照组相比,相对更短(P<0.05),2组第二产程相比,差异无统计学意义(P>0.05);2组干预前血钠、空腹血糖水平差异无统计学意义(P>0.05),观察组干预后血钠、空腹血糖水平与对照组相比,差异有统计学意义(P<0.05);观察组自然分娩率为98.11%,与对照组86.79%相比,相对更高(P<0.05),2组产程中呕吐率、产后出血率、胎儿窘迫率相比,差异无统计学意义(P>0.05);观察组新生儿脐静脉血p H值、5 min Apgar评分与对照组相比,差异无统计学意义(P>0.05)。结论:产程中对产妇实施计划性饮食能量摄入可促进自然分娩率,维持产妇血糖水平,缩短产程时间,值得应用。
文摘Objective: To describe the effect of home nocturnal hemodialysis (NHD) in North American children. Study design: Four teenagers underwent NHD for 8 hours, 6 to 7 nights/week, using either central venous lines or fistulae for periods of 6 to 12 months. Blood flow approximated 200 mL/min, and dialysate flow was 300 mL/min; the dialysate contained potassium and phosphate. The procedure was remotely monitored. Results: The children had unrestricted diets and fluid allowance and did not require phosphate binders. Persistent relative hypotension developed in 2 of 4 children. Weekly Kt/V urea values were consistently >10; other biochemical measures varied. Quality of life and school attendance improved in 3 of 4 children. The workload and reported emotional burden of NHD was substantial. No significant complications occurred. Dialysate losses of calcium, phosphate and carnitine required supplementation. The annual cost per patient was ＄ 64,000 Canadian, which represented a 27% savings compared with thrice weekly in-center hemodialysis. Conclusions: NHD is feasible in selected children, allows free dietary and fluid intake, and improves patient wellbeing. The burden on the family is substantial, and NHD requires support of a dedicated multidisciplinary team.
