早产儿生长监测与随访  

Growth monitoring and follow - up in preterm infants

作　　者：刘颖钏 贲晓明[1] 

机构地区：[1]同济大学附属第一妇婴保健院新生儿科,上海200040

出　　处：《中华实用儿科临床杂志》2015年第2期92-96,共5页Chinese Journal of Applied Clinical Pediatrics

摘　　要：早产儿出院时常存在明显的体质量低下，早产儿出院后营养缺乏风险增加，需密切随访，监测生长并早期干预。强化母乳或早产儿配方奶可帮助早产儿更好的生长，对于出院时体质量小于同胎龄第10百分位及出生体质量低于1500g的婴儿，建议使用强化母乳或早产儿配方奶。早产儿出院后，未强化母乳喂养的早产儿生长不良的风险高于早产儿配方奶喂养。临床实践中建议早产儿出院后采用强化母乳喂养。支气管肺发育不良患儿出院后生长障碍风险增加，蛋白质和矿物质强化配方奶在短期内可以为生长提供有利条件。Preterm infants are often significantly growth retarded at the time of hospital discharge. They often in the nutritional crisis after hospital discharge, and should be carefully follow up evaluated. Preterm formula and fortified breast milk ,nay improve the growth of preterm infants and is a reasonable option for preterm infants. Preterm formula and fortified breast milk are recommended for preterm infants with weights below the 10th percentile for age at the time of hospital discharge and those birth weights below 1 500 g. After hospital discharge, exclusively human milk - fed pre- term infants are at increased risk for suboptimal growth compared to formula - fed infants. Infants with BPD are at in- creased risk of growth retardation after hospital discharge. Protein and mineral enriched formula may provide short - term growth catch- up.

关 键 词：婴儿 早产 生长 母乳 母乳强化剂 早产儿方奶 

分 类 号：R722.6[医药卫生—儿科]