摘要
目的:探讨母乳喂养对极低出生体重儿(VLBWI)近期临床预后的影响。方法:选取139例新生儿重症监护病房(NICU)VLBWI为研究对象,按是否行母乳喂养分为母乳喂养组(n=76)及早产儿配方乳喂养组(n=63),比较两组患儿恢复至出生体重所需时间、奶量至100 mL·kg^(-1)·d^(-1)所需时间、静脉营养时间、住院时间、体重增长速率和喂养相关不良事件发生率。结果:两组新生儿静脉营养时间、体重增长率、感染率比较,差异无统计学意义(P>0.05);母乳喂养组恢复至出生体重所需时间、奶量达100 mL·kg^(-1)·d^(-1)所需时间及住院时间短于早产儿配方乳喂养组(P<0.05);喂养不耐受、Ⅱ-Ⅲ期坏死性小肠结肠炎(NEC)的发生率低于早产儿配方乳喂养组(P<0.05)。结论:母乳喂养可促进VLBWI的恢复,缩短住院时间,降低新生儿喂养不耐受及NEC的发生率,值得倡议推广。
Objective:To explore the effect of breastfeeding for very low birth weight infants recent clinical prognosis.Methods:39 cases of neonatal intensive care unit(NICU)VLBWI were selected and divided into breast feeding group(n=76)and premature infant formula feeding group(n=63)according to whether breast feeding was performed.The time costs of regaining to the birth weight,achieving milk amount of 100 ml·kg^(-1)·d^(-1),the length of parenteral nutrition and hospital staying,as well as the differences of the weight gain rate and the probability of feeding related adverse events were compared.Results:There was no significant difference in the time of parenteral nutrition,weight gain rate and infection rate between the two groups(P>0.05).Compared with formula feeding group,there were shorter lengths of regaining to the birth weight,achieving milk amount of 100 ml·kg^(-1)·d^(-1),and hospital staying within breastfeeding group(P<0.05).The incidences of feeding intolerance,stageⅡand stageⅢnecrotizing enterocolitis(NEC)were much lower in breastfeeding group(P<0.05).Conclusion:Breast-feeding can promote the recovery of VLBW infants,shorten hospitalization time,and reduce the incidence of neonatal feeding intolerance and NEC,which is worthy of promotion.
作者
王译
杜逸亭
马骄
巨容
WANG Yi;DU Yi-ting;MA Jiao;JU Rong(The Affiliated Women's and Children's Hospital,School of Medicine,University of Electronic Science and Technology of China,Chengdu Women's and Children's Central Hospital,Chengdu 611731,Sichuan,China)
出处
《川北医学院学报》
CAS
2021年第5期585-587,共3页
Journal of North Sichuan Medical College
基金
四川省卫生健康委员会普及应用项目(18PJ046)。
关键词
母乳喂养
极低出生体重
早产儿
预后
Breast-feeding
Very low birth weight
Premature infants
Prognosis
