Studies on the Effect of Fasting or Feeding on Intestinal Oxygenation in Neonates during Blood Transfusion

Yuan YUAN; Lijuan YIN; Yonglin QI

doi:10.12259/j.issn.2095-610X.S20230119

Volume 44 Issue 1

Jan. 2023

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2023 > 44(1): 168-172

Yuan YUAN, Lijuan YIN, Yonglin QI. Studies on the Effect of Fasting or Feeding on Intestinal Oxygenation in Neonates during Blood Transfusion[J]. Journal of Kunming Medical University, 2023, 44(1): 168-172. doi: 10.12259/j.issn.2095-610X.S20230119

Citation:

Yuan YUAN, Lijuan YIN, Yonglin QI. Studies on the Effect of Fasting or Feeding on Intestinal Oxygenation in Neonates during Blood Transfusion[J]. Journal of Kunming Medical University, 2023, 44(1): 168-172. doi: 10.12259/j.issn.2095-610X.S20230119

Citation:

PDF( 627 KB)

Studies on the Effect of Fasting or Feeding on Intestinal Oxygenation in Neonates during Blood Transfusion

doi: 10.12259/j.issn.2095-610X.S20230119

1.
Dept. of Neonatology，Kunming Children’s Hospital，Kunming Yunnan 650034
2.
School of Nursing，Dali University，Dali Yunnan 671003，China

Received Date: 2022-09-04
Available Online: 2022-12-24
Publish Date: 2023-01-18

Abstract

Abstract

Objective To investigate the effect of fasting or feeding on intestinal oxygenation in neonates during the blood transfusion. Methods From June 2021 to July 2022, a total of 59 eligible neonates who received the red blood cell infusion treatment in the newborn department of a third class A children’s special hospital in Yunnan Province were randomly divided into the fasting group and the feeding group, with 21 in the fasting group and 38 in the feeding group according to whether they continued to be fed during the blood transfusion. The near-infrared tissue blood oxygen parameter nondestructive monitor was used to detect its indicators and observe the changes of intestinal tissue oxygen saturation （rSO₂） in neonates during the fasting or feeding in the caurse of red blood cell infusion. Results There was no significant difference between the two groups in gender, gestational age （corrected gestational age of premature infants） and age of days （P > 0.05）. The average values of RSO₂ in intestinal tract before, during and after the fasting in the fasting group in the caurse of red blood cell infusion （%） were （54.77±6.49）, （55.18±7.64） and （55.94±6.46） respectively; The average values of RSO₂ in intestinal tract before, during and after the feeding in the feeding group （%） were （55.35±6.11）, （57.79±6.37） and （58.89±5.55） respectively. There was no significant difference between the two groups before fasting/feeding, during fasting/feeding and after fasting/feeding （P > 0.05）. Conclusion The change range of rSO₂ in the intestine of neonates before and after fasting or feeding compared with fasting or feeding in the process of red blood cell transfusion is small, and continuous feeding can be considered in the process of blood transfusion on the basis of the original feeding.
- Blood transfusion,
- Fasting or feeding,
- Spectroscopy,
- Near infrared ray,
- Intestinal tissue oxygen saturation

FullText(HTML)

References(26)

References

[1]	中国医师协会新生儿科医师分会循证专业委员会. 新生儿坏死性小肠结肠炎临床诊疗指南(2020)[J]. 中国当代儿科杂志,2021,23(1):1-11.
[2]	彭文玲. 近红外光谱在新生儿坏死性小肠结肠炎中的研究进展 [J]. 南方医科大学学报, 2018, 33（7）: 550-552.
[3]	程舒鹏,芦起,周敏,等. 胎龄小于 34 周早产儿坏死性小肠结肠炎危险因素的病例对照研究[J]. 中国循证儿科杂志,2016,11(2):122-125.
[4]	Janjindamai W,Prapruettrong A,Thatrimontrichai A,et al. Risk of ne-crotizing enterocolitis following packed red blood cell transfusion invery low birth weight infants[J]. Indian J Pediatr,2019,86(4):347-353. doi: 10.1007/s12098-019-02887-7
[5]	程舒鹏,陈名武,潘家华. 足月儿坏死性小肠结肠炎危险因素分析[J]. 安徽医科大学学报,2022,57(9):1486-1489.
[6]	Teišerskas J,Bartašiene R,Tameliene R. Associations between redb1ood cell transfusions and necrotizing enterocolitis in very low birth weight infants: Ten-year data of a tertiary neonatal unit-[J]. Medicina(Kaunas),2019,55(1):16.
[7]	邹芸苏,杨洋,吴越,等. 红细胞输注过程中早产儿肠道组织氧饱和度变化的临床研究[J]. 中华新生儿科杂志(中英文),2017,32(6):435-438.
[8]	雷小平,罗丽娟. 输血相关性坏死性小肠结肠炎的思考[J]. 临床儿科杂志,2022,40(9):647-653.
[9]	郭敏,王翠,张楠,等. 延迟脐带结扎对早产儿短期结局影响的系统评价[J]. 护理研究,2019,33(8):1298-1304.
[10]	朱雪萍,钱继红. 新生儿坏死性小肠结肠炎研究进展与展望[J]. 临床儿科杂志,2022,40(9):641-646.
[11]	谈笑,林丽星. 肠道微生态制剂预防早产极低出生体重儿NEC的研究进展[J]. 卫生职业教育,2014,32(20):156-157.
[12]	Gumulak R,Lucanova LC,Zibolen M. Use of near-infrared spec-troscopy (NIRS) in cerebral tissue oxygenation monitoring in ne-onates[J]. Biomed Pap Med Fac Univ Palacky Olomouc Czech Re-pub,2017,161(2):128-133. doi: 10.5507/bp.2017.012
[13]	Evans K M,Rubarth L B. Investigating the role of near-infrared spectroscopy in neonatal medicine[J]. Neonatal Netw,2017,36(4):189-195.
[14]	Hummler H. Near-Infrared spectroscopy for perfusion assessment and neonatal management[J]. Semin Fetal Neonatal Med,2020,25(5):101145.
[15]	Peng C,Hou X. Applications of functional near-infrared spectroscopy (fNIRS) in neonates[J]. Neurosci Res,2021,170:18-23.
[16]	李茂军,吴青,阳倩,等. 新生儿输血治疗的管理: 意大利新生儿输血循证建议简介[J]. 中华实用儿科临床杂志,2017,32(14):1063-1066. doi: 10.3760/cma.j.issn.2095-428X.2017.14.006
[17]	张敬华,张炼,梁红. 腹部近红外光谱监测与早产儿坏死性小肠结肠炎风险相关性分析[J]. 中华新生儿科杂志(中英文),2017,32(3):209-212. doi: 10.3760/cma.j.issn.2096-2932.2017.03.012
[18]	黄循斌,钟晓,刘婷,等. 近红外光谱技术对有血流动力学意义的动脉导管未闭早产儿肠道组织氧饱和度监测价值的前瞻性研究[J]. 中国当代儿科杂志,2021,23(8):821-827. doi: 10.7499/j.issn.1008-8830.2103196
[19]	Scott J P. Commentary:Casting near-infrared light on cerebral oxygen economy in neonatal congenital heart disease[J]. J Thorac Cardiovasc Surg,2020,159(5):2022-2023.
[20]	毛建雄,肖东,张翅,等. 近红外光谱技术在新生儿坏死性小肠结肠炎肠道血氧饱和度测定中的研究[J]. 中国优生与遗传杂志,2019,27(7):841-843,893. doi: 10.13404/j.cnki.cjbhh.2019.07.023
[21]	Blakeman T C,Scott J B,Yoder M A,et al. AARC clinical practice guidelines:Artificial airway suctioning[J]. Respir Care,2022,67(2):258-271.
[22]	Gradidge E A,Grimaldi L M,Cashen K,et al. Near-infrared spectroscopy for prediction of extubation success after neonatal cardiac surgery[J]. Cardiol Young,2019,29(6):787-792.
[23]	刘露,徐素华,张鹏,等. 红细胞输注对早产儿肠道组织氧合的影响[J]. 中华儿科杂志,2018,56(9):680-685. doi: 10.3760/cma.j.issn.0578-1310.2018.09.009
[24]	曾森焱,邓春. 极低出生体质量儿坏死性小肠结肠炎危险因素分析[J]. 重庆医科大学学报,2021,46(3):335-340.
[25]	马凤丽,张琦. 输血治疗对早产贫血患儿脑及肠道组织氧饱和度的影响[J]. 解放军预防医学杂志,2019,37(1):118-120. doi: 10.13704/j.cnki.jyyx.2019.01.037
[26]	Nakagawa Ichiro,Park Hun Soo,Yokoyama Shohei,et al. Indocyanine green kinetics with near-infrared spectroscopy predicts cerebral hyperperfusion syndrome after carotid artery stenting[J]. PLoS One,2017,12(7):e0180684. doi: 10.1371/journal.pone.0180684

Relative Articles(20)

Relative Articles

[1]	Lin ZHU, Yi LI, Kerong CHEN, Yonghua ZHANG, Hongling SHI. The Application and Research of Functional Near-infrared Spectroscopy in Epilepsy. Journal of Kunming Medical University, 2024, 45(5): 178-183. doi: 10.12259/j.issn.2095-610X.S20240527
[2]	Guangxiong HE, Sixue PAN, Juan WU, Junyi XIANG, Yu LU, Chaoyu BAO. Imaging Measurement of Intramedullary Nail Design for Proximal Fifth Metatarsal Fracture. Journal of Kunming Medical University, 2023, 44(1): 76-79. doi: 10.12259/j.issn.2095-610X.S20230108
[3]	Jianhong XU, Zhengmin REN, Yanjiao ZHAO, Shiyun LI, Ruijuan ZHANG, Faguo ZHANG. Screening of Congenital Heart Disease at Different Time in Neonates in Anning Area by Auscultation Combined with Pulse Oximetry. Journal of Kunming Medical University, 2023, 44(4): 128-132. doi: 10.12259/j.issn.2095-610X.S20230425
[4]	Huaxiang CHAI, Ziyu LUO, Aizhi DUAN, Deying LI, Weiqun DONG. The Analysis of Influence Factors on Platelet Antibody Production and Clinical Transfusion Effects. Journal of Kunming Medical University, 2023, 44(9): 62-68. doi: 10.12259/j.issn.2095-610X.S20230901
[5]	Yan WANG, Rong DING, Lvling ZHANG, Ruohua WANG, Xiaoling ZHAO, Na MA. Efficacy of Blood Transfusion Combined with Chemoradiotherapy in Patients with Colorectal Cancer and its Effect on Tumor Markers and T Lymphocyte Levels. Journal of Kunming Medical University, 2022, 43(8): 61-65. doi: 10.12259/j.issn.2095-610X.S20220809
[6]	Xueting YANG, Huifeng ZHANG. Evaluation of Drug Utilization in the Infected Patients with ESBLs Produced by Enterobacteriaceaein. Journal of Kunming Medical University, 2022, 43(6): 74-78. doi: 10.12259/j.issn.2095-610X.S20220621
[7]	Ying-fang XU, Jie HUANG, Cheng XIAO, Jiang LI, Wei LI, Guang-fang XU, Jian-ling TAN. Application of Comprehensive Quality Management Intervention in the Inconsistent Results of Blood Group Identification. Journal of Kunming Medical University, 2021, 42(11): 148-152. doi: 10.12259/j.issn.2095-610X.S20211035
[8]	Wei-jia ZHAO, Hong-bin LI, Zong-han CHEN. Evaluation of Peripheral Blood Cytokine Levels before and after Psoriasis Treatment with Narrow-spectrum UVB Combined with Carpotriol. Journal of Kunming Medical University, 2020, 41(12): 99-103. doi: 10.12259/j.issn.2095-610X.S20201227
[9]	Jiang Hui , Zhang Juan , Xu Dan , He Li . Construction of UV-induced Skin Squamous Cell Carcinoma Model of SKH-1 Hairless Mice and Expression of DNA-PKcs in Mice and Adult Squamous Cell Carcinoma. Journal of Kunming Medical University, 2019, 40(03): 11-17.
[10]	Li De Ying , Wang Yu Ming , Chai Hua Xiang , Dong Wei Qun . . Journal of Kunming Medical University, 2019, 40(11): 59-62.
[11]	Li Wei Hua , Zhao Gong Fang , Huang Hua , Lu Ming Liang . . Journal of Kunming Medical University, 2018, 39(11): 98-102.
[12]	Mei Li Jun , Zhang Ning , Chen Wei . The Effect of Allogenic Blood Transfusion on the Prognosis after Esophagectomy among Patients with Esophageal Cancer. Journal of Kunming Medical University, 2018, 39(04): 73-78.
[13]	Wang Dong Mei . . Journal of Kunming Medical University,
[14]	Yang Man . . Journal of Kunming Medical University,
[15]	Xu Xia . . Journal of Kunming Medical University,
[16]	Yao Yan Qiong . . Journal of Kunming Medical University,
[17]	Xu Ying Fang . . Journal of Kunming Medical University,
[18]	Cai Ling Jun . . Journal of Kunming Medical University,
[19]	. The Clinical Analysis of 60 Cases of Adverse Reactions caused by Blood Transfusion. Journal of Kunming Medical University,
[20]	Wang Peng . . Journal of Kunming Medical University,