患有支气管肺功能障碍的早产婴儿是否具有独特的产后体重增加模式?
Buse Ozer Bekmez1, Aslihan Kose Cetinkaya2, Mehmet Buyuktiryaki3
1Division of Neonatology, Department of Pediatrics, Sariyer Hamidiye Etfal Education and Research Hospital, Istanbul, Turkey.
概括
在住院期间,患有支气管肺功能障碍 (BPD) 的早产婴儿经历不稳定的生长. 它们的体重显著下降,特别是在出生后28天后,因此需要针对性营养策略以实现最佳发育.
科学领域:
- 新生儿科学 新生儿科学
- 儿科肺病学 儿科肺病学
- 增长和发展 增长和发展
背景情况:
- 支气管肺功能障碍症 (BPD) 是一种慢性肺部疾病,会影响早产婴儿.
- 患有BPD的早产婴儿的生长模式还没有得到很好的定义.
- 有效的营养策略对于管理BPD并发症至关重要.
研究的目的:
- 分析早产婴儿在住院期间被诊断患有BPD的每周体重增加模式.
- 为了比较患有BPD和没有BPD的婴儿之间的生长轨迹,包括体重标准偏差分数 (SDS).
主要方法:
- 一个回顾性队列研究包括151名早产婴儿 (<32周怀孕,<1500g) 患有BPD和251名没有BPD.
- 每周使用体重评估来跟踪生长参数.
- 体重SDS和体重SDS的下降被分析从出生到出院.
主要成果:
- 与对照组相比,患有BPD的婴儿在大多数产后周的平均体重较低.
- 虽然每日体重增加是相似的,但患有BPD的婴儿在4周和出院之间体重SDS显著下降.
- 较低的分泌体重SDS与妊娠年龄和较早的体重SDS有关.
结论:
- 患有BPD的早产婴儿在新生儿重症监护室 (NICU) 逗留期间表现出受损和不一致的生长模式.
- 发育迟缓在出生后的早期,以及出生后28天和出院之间尤其明显.
- 最佳营养策略应考虑整个产后期,包括四周后的关键阶段,以支持患有BPD的婴儿的充分生长.
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