CAJ | 학술논문

研究液态奶喂养对胎龄＜ 36周早产儿营养状况的影响，并对早产儿喂养方式提出建议。方法2009年11月至2010年5月收住我科治疗的符合标准的95例早产儿研为究对象，将其分为两组，分别应用足月儿配方奶粉喂养（48例）及早产儿液态奶喂养（47例），观察在达到全肠道营养前后两组早产儿的体质量、身长及头围增长速度，并作组间比较；同时比较两组早产儿宫外生长迟缓的发生率。结果液态奶喂养组和配方奶粉喂养组的体质量平均增加速度分别为(12.1 +2.3)g/(kg·d)和(10.5±2.1)g/(kg·d)(P＜0.01)，每周头围增长速度分别为(0.85±0.29 )cm和(0.71 +0.31) cm (P＜0.05)，每周身长增长速度分别为(0.76±0.24) cm和(0.65±0.27) (P ＜0.05)。宫外生长迟缓发生率两组比较差异有统计学意义(P＜0.05)。结论早产儿液态奶有益于早产儿生长发育，且优于足月儿配方奶粉。
연구액태내위양대태령＜ 36주조산인영양상황적영향，병대조산인위양방식제출건의。방법2009년11월지2010년5월수주아과치료적부합표준적95례조산인연위구대상，장기분위량조，분별응용족월인배방내분위양（48례）급조산인액태내위양（47례），관찰재체도전장도영양전후량조조산인적체질량、신장급두위증장속도，병작조간비교；동시비교량조조산인궁외생장지완적발생솔。결과액태내위양조화배방내분위양조적체질량평균증가속도분별위(12.1 +2.3)g/(kg·d)화(10.5±2.1)g/(kg·d)(P＜0.01)，매주두위증장속도분별위(0.85±0.29 )cm화(0.71 +0.31) cm (P＜0.05)，매주신장증장속도분별위(0.76±0.24) cm화(0.65±0.27) (P ＜0.05)。궁외생장지완발생솔량조비교차이유통계학의의(P＜0.05)。결론조산인액태내유익우조산인생장발육，차우우족월인배방내분。
Objective To investigate the effect of liquid milk on the nutritional status in premature infants with a gestational age of less than 36 weeks and give some suggestions on feeding in premature infants. Methods Ninety-five premature infants were divided into full -term in fant formula feeding group and liquid milk in premature feeding group. The rates of weight gain, length increment, head circumference increment and the incidence of extrauterine growth restriction (EUGR) were observed and compared between two groups before and after the time of full enteral feeding. Results The average daily weight gain[( 12. 1 ±2. 3 )g/( kg · d)v. s( 10. 5±2. 1)g/(kg· d),P＜ 0.01 ),head circumference increment[(0. 85 +0.29)v. s (0.71 +0.31)cm/W,P ＜0. 05 ) and length increment[(0. 76 + 0. 24) v. s ( 0. 65 + 0. 27 ) cm/W, P ＜ 0. 05 ) were significantly better in the infants fed with liquid milk in premature compared with the infants fed with full - term children formula. There was obvious difference in the incidence of EUGR between two groups ( P ＜ 0. 05 ) . Conclusion The growth and development of premature infants fed with liquid milk in premature were better than those of full - term in fant formula.