基于线索和基于体积的口服养进展策略和极度早产婴儿的结果
Mariana Diaz1, Padma Nandula2, Vasantha H S Kumar2
1Department of Pediatrics, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida, United States.
American journal of perinatology
|February 5, 2026
概括
在基于提示的口服养进展 (CB-OFP) 的极度早产婴儿 (EPIs) 比基于体积的口服养进展 (VB-OFP) 的婴儿更早获得全口服养. 这种养策略还导致EPI患者的住院时间缩短.
科学领域:
- 新生儿科学 新生儿科学
- 儿童营养学 儿童营养学
- 婴儿养实践 婴儿养实践
背景情况:
- 对于极度早产婴儿 (EPI) 的最佳口服养进展策略仍在争论中.
- 现有的方法缺乏共识,影响养结果和住院时间.
研究的目的:
- 用两个不同的口服养策略来比较EPI (<28周妊娠年龄) 的养结果:基于提示的口服养进展 (CB-OFP) 和基于体积的口服养进展 (VB-OFP).
主要方法:
- 对119个EPI的回顾性队列研究,这些EPI在全口服养中排出.
- 在CB-OFP和VB-OFP组之间比较完整口服养的月经后年龄 (PMA),完整养的时间,PMA排放和停留时间.
主要成果:
- 在较早的PMA (37.6 vs. 40.1周) 和较少的天数 (20 vs. 27天) 中,CB-OFP婴儿在较早的PMA (37.6 vs. 40.1周) 和较少的天数 (20 vs. 27天) 中实现了全口饮.
- CB-OFP与更早的出院 (38.6 vs 41.3 周PMA) 和更短的住院时间 (93 vs 111.5 天) 有关.
- 在生长速度或放电重量z-score方面没有发现显著差异.
结论:
- 基于线索的口服养进展可能会促进更早地实现全口服养,并减少与基于体积的进展相比,EPI的停留时间.
- 需要进一步的研究,包括随机对照试验,以证实这些发现,并探索长期的神经发育结果.
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