中华实用儿科临床杂志
中華實用兒科臨床雜誌
중화실용인과림상잡지
Journal of Applied Clinical Pediatrics
2015年
2期
89-91
,共3页
婴儿,早产%肠内营养%喂养不耐受
嬰兒,早產%腸內營養%餵養不耐受
영인,조산%장내영양%위양불내수
Infant,premature%Enteral nutrition%Feeding intolerance
早产儿出生后,由于宫内营养储备不足,肠道不成熟以及医疗因素,如窒息、酸中毒、手术等,有更高的营养需求.早产儿为了达到理想的生长速度,需要持续的评估和足够的热量和营养供给.建议早产儿出生后早期进行肠道启动,待临床情况稳定后逐步达到完全肠内喂养.多种征象可能提示早产儿喂养不耐受,临床医师需综合判断.某些药物如红霉素治疗早产儿喂养不耐受还有待研究证实.
早產兒齣生後,由于宮內營養儲備不足,腸道不成熟以及醫療因素,如窒息、痠中毒、手術等,有更高的營養需求.早產兒為瞭達到理想的生長速度,需要持續的評估和足夠的熱量和營養供給.建議早產兒齣生後早期進行腸道啟動,待臨床情況穩定後逐步達到完全腸內餵養.多種徵象可能提示早產兒餵養不耐受,臨床醫師需綜閤判斷.某些藥物如紅黴素治療早產兒餵養不耐受還有待研究證實.
조산인출생후,유우궁내영양저비불족,장도불성숙이급의료인소,여질식、산중독、수술등,유경고적영양수구.조산인위료체도이상적생장속도,수요지속적평고화족구적열량화영양공급.건의조산인출생후조기진행장도계동,대림상정황은정후축보체도완전장내위양.다충정상가능제시조산인위양불내수,림상의사수종합판단.모사약물여홍매소치료조산인위양불내수환유대연구증실.
After birth,premature infants have greater nutritional needs,because of decreased intrauterine nutrient deposition,immaturity of the gastrointestinal tract (GI),and medical conditions such as hypoxia,acidosis and surgery.In order to reach the optimal growth rate,continual reassessment and delivery of adequate energy and nutritional support are imperative.We suggest initiating enteral feeding in the first few days after birth to prime the GI in the premature infant,and then gradually achieve full enteral feedings when clinical condition is stable.Many signs may suggest feeding intolerance.Clinicians should composite these factors to determine.The use of drugs such as erythromycin to treat feeding intolerance in premature infants needs to be clarified.
