加强母乳的强化,以达到早产婴儿营养目标
Ting Ting Fu1,2, Carla M King3, Jae H Kim3,4
1Division of Neonatology, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. tingting.fu@cchmc.org.
Pediatric research
|January 16, 2026
概括
对于早产婴儿来说,增强母乳强化始终符合蛋白质摄入目标,是标准强化的有效替代品. 母乳,有或没有强化,更有可能达到脂肪摄入目标.
科学领域:
- 新生儿营养新生儿营养
- 婴儿的成长和发展.
背景情况:
- 过早出生的婴儿往往需要营养超过标准强化 (24 kcal/oz) 足够的增长.
- 个性化防御改善了增长,但资源密集.
- 对于出生时体重非常低的婴儿,实施了全方位增强强化强化 (26 kcal/oz).
研究的目的:
- 评估捐赠母乳 (DBM) 和增强强化母乳 (MBM) 的营养充足度.
- 为了比较强化和标准强化方法之间的营养目标实现.
主要方法:
- 对出生小于1500克和小于33周的婴儿进行前性队列研究.
- 使用中红外分析分析MBM和DBM宏观营养素含量的分析.
- 营养摄入目标 (脂肪,碳水化合物,蛋白质) 与标准和增强强固化的比较.
主要成果:
- 与DBM相比,MBM表现出较高的蛋白质,脂肪和能量含量 (p<0.0001).
- 无论强化方法如何,MBM样本更频繁地达到脂肪摄入目标.
- 强化强化显著提高了蛋白质目标的实现,所有样本达到3.5-4g/kg/day,56%达到4.5g/kg/day.
结论:
- 增强强化是实现早产婴儿肠道营养目标的有效和可行的方法.
- 增强强化始终提供比标准强化更高的蛋白质摄入量,特别是与DBM.
- 母乳更有可能达到脂肪摄入目标,但可能需要根据强化剂成分进行额外的丰富.
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