在新生儿重症监护病房使用母乳和强化剂
1Division of Neonatology, University of Louisville, 9109 Brookwood Path, Louisville, KY, 40241, USA.
Seminars in fetal & neonatal medicine
|May 16, 2025
概括
人母乳对于出生时体重非常低 (VLBW) 的婴儿至关重要,但需要强化以满足营养需求. 个性化强化提供了个性化的方法来优化婴儿营养和发育.
科学领域:
- 新生儿营养新生儿营养
- 婴儿营养 婴儿营养
- 儿科胃肠病学 儿科胃肠病学
背景情况:
- 母乳是非常低出生体重 (VLBW) 婴儿的最佳营养.
- 当自己的母乳 (OMM) 不存在时,建议使用捐赠人母乳 (DM).
- 人母乳养提供了短期的好处,比如预防瘤性肠球炎 (NEC).
研究的目的:
- 突出VLBW婴儿仅用母乳养的营养挑战.
- 讨论母乳强化在满足营养需求中的作用.
- 探索针对VLBW婴儿的个性化强化新兴实践.
主要方法:
- 关于母乳,供母乳和VLBW婴儿的强化策略的当前文献的综述.
- 分析与纯母乳养相关的营养缺陷.
- 对实时母乳分析仪的新兴技术进行讨论,以实现个性化的强化.
主要成果:
- 对于VLBW婴儿来说,仅母乳是不够的,有可能导致营养不足和生长不良.
- 多元成分强化剂增强热量和蛋白质含量,最大限度地减少营养缺乏.
- 人类牛奶衍生强化剂 (HMDF) 提供了独家的人类牛奶饮食,但对牛奶衍生强化剂的优越性证据有限.
结论:
- 强化是满足VLBW婴儿复杂营养需求的必要条件.
- 使用实时分析进行个性化强化代表了优化VLBW婴儿营养的有希望的进步.
- 需要进一步的研究,以制定HMDF和个性化巩固策略的最终建议.
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