人母乳,母乳养和早期神经发育结果对于患有严重心血管疾病的婴儿
Kristin M Elgersma1, Melissa L Engel2, Sara E Ramel2
1School of Nursing, University of Minnesota, Minneapolis, MN, USA.
Cardiology in the young
|May 13, 2024
概括
直接母乳养显著改善了患有严重先天性心脏病 (CHD) 的婴儿的神经发育结果. 这凸显了母乳对婴儿大脑发育的重要性,即使在复杂的医疗条件下也是如此.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 新生儿科学 新生儿科学
- 发育神经科学的发展神经科学.
背景情况:
- 众所周知,母乳对早产儿的神经发育有好处.
- 人母乳和母乳养对患有严重先天性心脏病 (CHD) 的婴儿神经发育的影响在很大程度上是未知的.
- 了解这些关系对于优化对这个脆弱人群的护理至关重要.
研究的目的:
- 为了探索母乳/直接母乳养与神经发育结果之间的关联,在1年和2年的随访中,在患有严重心脏病的婴儿中.
- 描述患有严重心脏病的婴儿在住院治疗的第一年期间的养模式 (母乳,捐赠奶,配方奶).
主要方法:
- 对于在6个月前为严重心脏病接受手术的婴儿进行回顾性队列研究.
- 使用贝利婴儿发育尺度IV在1年和2年随访时评估的神经发育.
- 调整后的线性回归模型分析了纯母乳或直接母乳养与神经发育分数之间的关联,控制了人口和临床因素.
主要成果:
- 直接母乳养的婴儿在1年的随访中表现出显著更高的认知 (13.18分),语言 (14.04分) 和运动成绩 (15.80分).
- 接受纯母乳养的婴儿有较高认知分数 (12.64分) 的趋势,尽管在统计学上并不显著 (p=0.059).
- 随访率各不相同,人口和社会因素影响参与.
结论:
- 直接母乳养与严重心脏病的婴儿神经发育结果的改善有关.
- 对营养在关键性心脏病神经发育中的作用进行进一步的研究是有必要的.
- 解决获得神经发育后续护理的差异对于这一群体至关重要.
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