标准化1500克以上的早产婴儿的养策略
Ting Ting Fu1,2, Maame Arhin3, Ashley T Schulz4
1Perinatal Institute, Division of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. tingting.fu@cchmc.org.
Pediatric research
|August 16, 2024
概括
一项针对1500g以上早产婴儿的新养方案,标准化了养的进步,从而更一致地实现了全肠体积. 捐赠母乳摄入量与该人群的体重速度下降有关.
科学领域:
- 新生儿科学 新生儿科学
- 儿童营养学 儿童营养学
- 临床实施科学 临床实施科学
背景情况:
- 标准化养方案和捐赠母乳 (DBM) 的使用主要研究在1500g以下的婴儿中.
- 关于这些干预措施的研究有限,只针对出生时体重超过1500g的婴儿.
研究的目的:
- 评估为1500g以上的早产婴儿提供食方案的临床实施情况.
- 评估该议定书对门营养,食耐受性,生长和母乳供应的影响.
- 调查该队列中DBM摄入量与增长之间的关联.
主要方法:
- 追溯的前后实施队列研究设计.
- 对高于1500克的早产婴儿标准化食方案的评估 (30毫升/公斤/天的进步)
- 结局的比较 (中线位置,养耐受性,生长,母乳) 之前和之后的协议实施.
主要成果:
- 周围插入的中央导管或母乳供给率没有显著差异.
- 在实施后,时间分布较窄到全肠体积 (p<0.001).
- 每增加10%的DBM摄入量与体重速度减少1.0g/d相关 (p<0.001).
结论:
- 对于1500g以上的早产婴儿的食方案有助于更一致地实现全肠食.
- 需要进一步的研究来阐明DBM对这一特定婴儿群体生长的确切影响.
- 经过适当的强化,捐赠母乳可以支持生长,但需要进行额外的研究,以在1500g以上的婴儿中最佳使用.
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