24. Early enteral nutrition improves nutritional intake and insulin resitance in children after congenital heart surgery
Main Article Content
Abstract
A randomized controlled clinical trial of 39 infants aged 2 - 12 months undergoing ventricular septer defect surgery was conducted to evaluate the effect of early enteral nutrition on nutritional intake, insulin resistance, and treatment duration after ventricular septal defect surgery at the National Children’s Hospital . The intervention group received early enteral nutrition with hydrolyzed formula within 24 hours post surgery; the control group received nutrition according to the routine protocol. Results: the energy intake and the proportion of infants reaching enteral energy requirements in the intervention group were higher than the control group on postoperative days 2 and 3 (p < 0.05). The decline in insulin sensitivity was less pronounced in the intervention group compared to the control group (p = 0.04), and there was a strong correlation between protein supplied on day 1 and duration of mechanical ventilation (r = -0.61, p = 0.000). The results of the study support our hypothesis that early enteral nutrition improves nutritional intake , reduces insulin resistance and treatment duration.
Article Details
Keywords
Early enteral nutrition, ventricular septal defect, insulin resistance
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