[在早产和低出生体重新生儿中引入补充养和相关因素:前性队列研究]
Priscilla Larissa Silva Pires1, Rejane Sousa Romão1, Rayany Cristina de Souza1
1Universidade Federal de Uberlândia, Uberlândia, Brasil.
这项研究发现,当在早产婴儿中引入补充养时,诸如妊娠年龄,住院时间和母乳养类型等因素会影响. 需要指导方针来支持专业人士和家长在这个关键的发展里程碑的时间.
科学领域:
- 新生儿营养新生儿营养
- 儿科胃肠病学 儿科胃肠病学
- 发育儿科 发育儿科
背景情况:
- 及时引入补充养对于婴儿的生长和发育至关重要,特别是在像早产新生儿这样的脆弱人群中.
- 了解影响低出生体重和早产婴儿补充养启动的因素对于优化健康结果至关重要.
- 当前的指导方针可能无法充分解决早产婴儿及其照顾者所面临的具体需求和挑战.
研究的目的:
- 分析社会人口学因素,母亲和新生儿特征以及低出生体重和早产新生儿补充食引入时间之间的关联.
- 确定特定的预测因子,延迟或促进在早产婴儿中引入不同的食物纹理 (液体,固体,软体).
- 为医疗保健专业人员和护理人员提供基于证据的建议,以补充早产婴儿的补充食.
主要方法:
- 一项前性队列研究,涉及79名早产新生儿 (出生体重≤1800克).
- 使用结构化问卷收集医院出院时和经过修正妊娠年龄 (CGA) 6,9 和 12 个月的数据.
- 评估补充食的引入,食物质感和发育迟缓的风险 (使用幼儿福利调查 - SWYC-BR).
- 使用考克斯比例危险回归的统计分析来确定显著的关联.
主要成果:
- 引入液体食品的中位年龄是3.50个月,固体食品是4.70个月,软食品是5.00个月 (纠正妊娠年龄).
- 妊娠年龄的增加与所有食品质感的早期引入有关.
- 较长的住院时间和混合母乳养模式与延迟引入固体和软食品有关.
- 较不严重的早产 (较低的新生儿急性生理学和围产期延伸分数 - SNAPPE II) 和医院出院时的母乳养与延迟的液体食物引入有关.
结论:
- 社会人口学因素,新生儿特征 (妊娠年龄,早产的严重程度) 和母亲的做法 (母乳养类型,出院时的母乳养) 显著影响过早婴儿补充养的时间.
- 特定因素影响了不同食物纹理的引入,突出显示了这一群体食进展的复杂性.
- 制定明确的,基于证据的指导方针对于支持医疗保健提供者和家长在为早产婴儿提供补充食的最佳引入中进行导航至关重要,这可能会改善发育结果.
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