超低和极低出生体重儿早期热卡摄入比较研究  

Comparative study of caloric intake in infants with extremely/very low birth weight

作　　者：詹兴星 李禄全[1] 包蕾[1] ZHAN Xingxing;LI Luquan;BAO Lei(Department of Neonatology,Children′s Hospital of Chongqing Medical University/Ministry of Education Key Laboratory of Child Development and Disorders/National Clinical Research Center for Child Health and Disorders/China International Science and Technology Cooperation base of Child development and Critical Disorders/Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院新生儿科/儿童发育疾病研究教育部重点实验/国家儿童健康与疾病/临床医学研究中心/儿童发育重大疾病国家国际科技合作基地/儿科学重庆市重点实验室,重庆400014

出　　处：《现代医药卫生》2022年第11期1846-1849,共4页Journal of Modern Medicine & Health

摘　　要：目的研究围生期各种因素对超低和极低出生体重儿早期热卡摄入的影响,以及早期摄入高热卡与超低和极低出生体重儿并发症的相关性。方法回顾性分析2020年4—12月该院住院治疗并好转出院的超低和极低出生体重儿122例的临床资料,出生后第7天热卡(肠内+肠外营养)摄入大于或等于120 kcal/(kg·d)者纳入高热卡组,其余病例纳入低热卡组。结果与低热卡组比较,高热卡组支气管肺发育不良的发生率更低、达到全肠内营养时间更短。2组新生儿坏死性小肠结肠炎发病率比较差异无统计学意义(P>0.05)。2组在小于胎龄儿、自然分娩、单胎、产前使用足疗程激素等方面比较,差异均有统计学意义(P<0.05)。结论围生期各种因素可影响超低和极低出生体重儿早期热卡的摄入。早期保证高热卡摄入,有益于超低和极低出生体重儿尽早达到全肠内营养,减少支气管肺发育不良的发生。Objective To investigate the effect of various perinatal factors on early caloric intake of extremely/very low birth weight infants,and to analyze the related factors of early caloric intake on postnatal complications of extremely/very low birth weight infants.Methods The clinical data of 122 extremely/very low birth weight infants who were hospitalized and discharged from our hospital from April to December 2020 were retrospectively analyzed.The patients with the caloric intake(enteral+parenteral nutrition)greater than or equal to 120 kcal/(kg·d)on the seventh day after birth were included in the high calorie group,and the remaining patients were included in the low calorie group.Results Compared with the low calorie group,the incidence rate of bronchopulmonary dysplasia(BPD)in the high calorie group was lower,and the total enteral nutrition time was shorter.The incidence of necrotizing enterocolitis(NEC)between the two groups was not statistically different(P>0.05).There were significant differences between the two groups in intrauterine growth retardation,delivery mode,multiple pregnancy(P<0.05).Conclusion Various perinatal factors may affect the caloric intake in the early period of extremely/very low birth weight infants.Early high caloric intake was beneficial to achieve total enteral nutrition and reduce the incidence of BPD in extremely/very low birth weight infants.

关 键 词：超低和极低出生体重儿 热卡 并发症 支气管肺发育不良 新生儿坏死性小肠结肠炎 

分 类 号：R722.6[医药卫生—儿科]