Evolução do estado nutricional de crianças submetidas à palatoplastia posterior, alimentadas através de mamadeira ou colher / Evolution of nutritional status of children undergoing palatoplasty later, fed by bottle or spoon / Evolución del estado nutricional de los niños sometidos a palatoplastia más tarde, alimentados con biberón o la cuchara

Objetivo: Avaliar se o instrumento utilizado para o oferecimento da alimentação influenciou o estado nutricional dos pacientes.Métodos: Dezenove crianças (G1) e 8, com colher (G2), foram submetidas à avaliações dietética, antropométrica e laboratorial no dia anterior à cirurgia (M1) e 30 dias após a alta (M2). os dados foram analisados por média, desvio padrão, teste "t" pareado e teste "t" de Student. Resutados: Os seguintes resultados foram observados: 1. nenhuma variação significante na ingestão alimentar; 2. ganho ponderal entre os momentos do estudo para G1 bem como incremento no Peso pela Idade (Pe/I) e no Comprimento pela Idade (C/I); 3. redução significante nos valores de hemoglobina e hematócrito em M2 para G2. Conclusão: Os diferentes instrumentos mostraram a mesma influêmcia nos indicadores dietéticos e laboratorias, entretanto, os antropométricos demonstraram maiores incrementos em seu crescimento.

Objective: To evaluate whether the instrument used for the offering of food influenced the nutritional status of pacientes.Métodos: Nineteen children (G1) and 8 with spoon (G2) underwent dietary assessment, anthropometric and laboratory on the day prior to surgery ( M1) and 30 days after discharge (M2). the data were analyzed by mean, standard deviation, t-test and paired t test of Student. Overall result: The following results were observed: 1. no significant variation in food intake, 2. between weight gain during the study for G1 and increase in weight for age (Fr / I) by Age and Length (C / I), 3. significant reduction in hemoglobin and hematocrit in M2 for G2. Conclusion: The different instruments showed the same influêmcia laboratorias and dietary indicators, however, demonstrated greater increases in anthropometric growth.

Objetivo: Evaluar si el instrumento utilizado para la oferta de alimentos influido en la situación nutricional de pacientes.Métodos: Diecinueve niños (G1) y 8 con una cuchara (G2) se sometieron a la evaluación dietética, antropométrica y de laboratorio en el día antes de la cirugía ( M1) y 30 días después del alta (M2). los datos fueron analizados mediante media, desviación estándar, t-test y vinculado prueba de la t de Student. Total de resultados: Los resultados fueron los siguientes: 1. ninguna variación significativa en la ingesta de alimentos, 2. entre el aumento de peso durante el estudio para el G1 y el aumento de peso para la edad (Fr / I), por edad y longitud (C / I), 3. reducción significativa de la hemoglobina y el hematocrito en M2 en el G2. Conclusión: Los instrumentos diversos mostró la laboratorias influêmcia misma y los indicadores de la dieta, sin embargo, demostraron un mayor aumento en el crecimiento antropométrico.

Immediate postoperative evaluation of the surgical wound and nutritional evolution after cheiloplasty.

OBJECTIVE: To evaluate the nutritional status and behavior of the surgical wound following cheiloplasty. SETTING: Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC/USP), Bauru, São Paulo, Brazil. PARTICIPANTS: Forty-five nursing children aged 3 to 13 months old, either bottle-fed or spoon-fed, submitted to cheiloplasty during the study period. RESULTS: The results did not demonstrate significant differences between the study groups regarding gender, age, nutritional status, and condition of the surgical wound. Upon completion of the study, the infants of both groups were eutrophic, presenting increase in growth and development, with no hematoma, significant edema, sutural dehiscence, bleeding, or infection at the operated area. CONCLUSIONS: Both kinds of nursing, spoon- and bottle-feeding, had the same influence on nutritional status and wound condition in both study groups. We suggest that bottle-feeding should be tried in patients in the postoperative period of cheiloplasty, because this method was used after surgery without causing any damage to the lip surgical wound.