强化母乳喂养对住院期间极低出生体重儿的影响  

Effects of Intensive Breastfeeding on Very Low Birth Weight Children During Hospitalization

作　　者：王娟[1] 张敏婕 王敏[1] 周勤[1] 

机构地区：[1]无锡市妇幼保健院,江苏无锡214000

出　　处：《中外医学研究》2017年第29期157-159,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:回顾性研究强化母乳喂养对住院期间极低出生体重儿生长发育及合并症的影响。方法:收集2011年1月-2014年6月笔者所在医院新生儿重症监护病房收治的符合入选条件的极低出生体重儿,根据喂养方式不同分为强化母乳喂养组(49例)和早产儿配方奶喂养组(37例),比较两组极低出生体重儿住院期间生长发育指标和合并症发生情况。结果:强化母乳喂养组患儿住院期间使用静脉营养时间短,但两组差异无统计学意义(P=0.164),强化母乳喂养组达到全肠内喂养所需时间短,两组差异有统计学意义(P<0.05)。两组患儿喂养不耐受、支气管肺发育不良、动脉导管未闭、坏死性小肠结肠炎、院内感染、视网膜病等发生率比较差异无统计学意义(P>0.05)。结论:早产儿强化母乳喂养可达到与早产儿配方奶喂养相似的生长速率,缩短肠外营养时间。Objective： To explore the effects of intensive breastfeeding on growth, development and complications of very low birth weight premature infants during hospitalization.Method： Premature infants with weight〈1500 g who were admitted to NICU between January 2011 and June 2014, were retrospectively enrolled and divided into two groups.Infants who were fed with fortified human breast milk were named HMF feeding group（n=49）, and those who were fed with premature formula were called PF feeding group（n=37）.Data of infants on growth, development and incidence of various complications were compared between the two groups.Result： The duration of paxenteral nutrition of the HMF feeding group was shorter than PF feeding group, but there was no statistically significant difference（P=0.164）.The time required for whole bowel feeding of HMF feeding group was shorter than PF feeding group, the differences were statistically significant（P〈0.05）.There were no significant differences between the morbidity of feeding intolerance, bronchopulmonary dysplasia, patent ductus arteriosus, retinopathy, bronchopulmonary dysplasia, necrotizlng enterocolitis of newborns（P〉0.05）.Conclusion： HMF for premature infants may ensure the same growth pattern as those fed by premature formula, and it also can accelerate the enteral feeding process during hospitalization.

关 键 词：母乳喂养 早产 母乳强化剂 回顾性研究 

分 类 号：R473.72[医药卫生—护理学]