早产儿出院后配方奶喂养有营养不良高危因素早产儿的疗效  

The effect of post-discharge formula to premature infants with high risk factor of malnutrition

作　　者：刘郴州[1,2] 宋珍[1,2] 张和春[1,3] 古爱香[1,2] 郭青云[1,2] 

机构地区：[1]江门市中心医院 [2]中山大学附属江门医院儿科重症监护病区,529070 [3]中山大学附属江门医院儿科保健门诊,529070

出　　处：《中国实用医药》2012年第24期7-9,共3页China Practical Medicine

基　　金：广东省江门市科技计划项目(项目编号:201003)

摘　　要：目的观察早产儿出院后配方奶对具有营养不良高危因素的早产儿出院后喂养的效果。方法采用前瞻性研究,以2005年九省市中国儿童生长标准为对照,对具有营养不良高危因素的100例早产儿出院后采用早产儿出院后配方奶喂养,定期进行生长发育检测,当生长参数(头围、身高、体重)均达到相当月龄生长曲线第25百分位者即转换婴儿配方奶或者母乳,探索喂养时间的长短。矫正年龄1岁时,以头围、身高、体重作为评判指标,将生长指标≤P10(生长曲线第10百分位)定义为宫外生长发育迟缓,分别记录其发生率;应用贝利婴幼儿发展量表评估其智力发展指数与运动发展指数。结果本组病例中无退出病例,最短的喂养时间为4个月即转换奶粉,最长的喂养时间是12个月才转换奶粉,大部分为喂养7～11个月即转换奶粉,其中以喂养10月转换奶粉者为最多,为32例。矫正年龄1岁时以头围、身高、体重作为评判指标,宫外生长发育迟缓分别为3%、2%、2%,智力发展指数平均为(92.26±9.84),运动发展指数为(90.04±8.84)。结论早产儿出院后配方奶对具有营养不良高危因素的早产儿出院后喂养的效果较好,大部分喂养7～11个月即能够帮助其实现追赶性生长,矫正年龄1岁体格发育与神经系统发育大致正常。Objective To investigate the effect of post-discharge formula to premature infants with risk factor of malnutrition.Methods Adopting prospective study,100 preterm infants with malnutrition risk factors were fed by post-discharge formula after discharge,their growth and development were tested regularly.Using Child Growth Standards of nine provinces and municipalities in 2005 for the control,when the growth parameters of head circumference and height and weight were all reach the 25th percentile of the growth curve,they were converted to feed by infant formula or breast milk,the length of feeding time was record.Regarding head circumference and height and weight as the evaluation index,the growth index ≤ P10（10th percentile of the growth curve） was defined as extrauterine growth retardation,their incidence was recorded respectively at corrected age 1 year old,and their mental development index and psychomotor development index was assessed by Bayley Scales of Infant Development.Results In this group of patients was no exiting cases,the shortest feeding time was four months,the longest feeding time was twelve months,most of them were fed for 7~11 months,a maximum of 32 cases were fed for 10 months.Regarding head circumference and height and weight as the evaluation index,the incidence of extrauterine growth retardation was 3%,2%,2%,respectively,their mental development index and psychomotor development index was（92.26±9.84）,（90.04±8.84）,respectively.Conclusion The effect of post-discharge formula to premature infants with risk factor of malnutrition is fine,most of them fed for 7-11 months can help to achieve catch-up growth.At corrected age 1 year old their physical development and nervous system development were roughly normal.

关 键 词：营养不良 出院后配方奶 喂养 早产儿 

分 类 号：R722.6[医药卫生—儿科]