低收入和中等收入国家新生儿营养:促进增长和发展
Sarah Gregory1, Merhawit Abadi Hagos2, Jocelyne Bukeyeneza3,4,5
1Division of Neonatology, Duke University, Durham, North Carolina.
NeoReviews
|February 28, 2026
概括
在缺乏资源的环境中优化早产婴儿营养需要量身定制的策略. 这包括使用替代增强剂,优化静脉注射液体,并实施非食干预措施,以改善新生儿生长.
科学领域:
- 新生儿科学 新生儿科学
- 儿童营养学 儿童营养学
- 全球健康 全球健康
背景情况:
- 过早出生的婴儿表现出高的代谢需求和有限的储备,这给生长带来了挑战.
- 低收入和中等收入国家 (LMICs) 的资源限制加剧了早产婴儿的营养风险.
- 尽管资源水平各不相同,但新生儿重症监护室 (NICU) 的有效营养至关重要.
研究的目的:
- 探索LMICs的新生儿生长和营养.
- 确定优化早产婴儿肠道和肠道营养资源的策略.
- 为在资源有限的NICU中管理营养挑战提供指导.
主要方法:
- 在婴儿配方奶粉成本极高时,对替代增强剂的审查.
- 优化静脉注射液体的策略,没有全方位的亲肠营养.
- 探索非食干预措施以支持生长.
- 对极低出生体重婴儿的排泄养和生长评估的指导.
主要成果:
- 当婴儿配方奶粉无法负担时,可以使用替代的强化剂.
- 在没有全方位的亲肠道营养的情况下,静脉内流体的优化是关键.
- 非食干预措施和量身定制的排放计划改善了增长结果.
结论:
- 针对性营养方法对于LMIC中早产婴儿至关重要.
- 创新的资源管理和跨学科的合作是至关重要的.
- 在全球范围内,对早产婴儿的改善护理依赖于适应性营养策略.
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