哺乳和新生儿黄与婴儿神经发育的关联
1State Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, Jiangsu, China; Department of Epidemiology, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, China.
American journal of preventive medicine
|December 5, 2023
概括
纯母乳养对婴儿神经发育有好处. 建议继续为患有严重新生儿黄的婴儿提供纯母乳养,以支持认知和精细运动技能的发展.
科学领域:
- 儿科 儿科 儿科
- 神经发育儿科 神经发育儿科
- 新生儿科学 新生儿科学
背景情况:
- 专用母乳养已被认为对婴儿神经发育有好处.
- 新生儿黄,特别是严重的病例,对神经发育构成风险.
- 对于患有新生儿黄的婴儿,最佳的母乳养策略尚不清楚.
研究的目的:
- 研究母乳养状态,新生儿黄和婴儿神经发育之间的关联.
- 确定新生儿黄诊断的婴儿是否应该继续纯母乳养.
主要方法:
- 利用了来自前性江苏出生队列 (JBC) 研究的数据.
- 包括2017年11月至2021年3月间出生的2,577名婴儿.
- 采用多变量线性回归模型来分析关联和相互作用.
主要成果:
- 纯母乳养与混合母乳养或不母乳养相比,与更高的精细运动分数有关.
- 严重的新生儿黄与较低的认知和精细运动分数有关.
- 在患有严重黄的婴儿中,在6个月前停止纯母乳养与较差的认知结果相关.
结论:
- 在最初的六个月内,纯母乳养有助于婴儿的神经发育.
- 维持纯母乳养对于患有严重新生儿黄的婴儿尤其重要,以减轻潜在的神经损伤.
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