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
92-96
,共5页
婴儿,早产%生长%母乳%母乳强化剂%早产儿配方奶
嬰兒,早產%生長%母乳%母乳彊化劑%早產兒配方奶
영인,조산%생장%모유%모유강화제%조산인배방내
Infant,premature%Growth%Human milk%Fortified human milk%Preterm formula
早产儿出院时常存在明显的体质量低下,早产儿出院后营养缺乏风险增加,需密切随访,监测生长并早期干预.强化母乳或早产儿配方奶可帮助早产儿更好的生长,对于出院时体质量小于同胎龄第10百分位及出生体质量低于1 500 g的婴儿,建议使用强化母乳或早产儿配方奶.早产儿出院后,未强化母乳喂养的早产儿生长不良的风险高于早产儿配方奶喂养.临床实践中建议早产儿出院后采用强化母乳喂养.支气管肺发育不良患儿出院后生长障碍风险增加,蛋白质和矿物质强化配方奶在短期内可以为生长提供有利条件.
早產兒齣院時常存在明顯的體質量低下,早產兒齣院後營養缺乏風險增加,需密切隨訪,鑑測生長併早期榦預.彊化母乳或早產兒配方奶可幫助早產兒更好的生長,對于齣院時體質量小于同胎齡第10百分位及齣生體質量低于1 500 g的嬰兒,建議使用彊化母乳或早產兒配方奶.早產兒齣院後,未彊化母乳餵養的早產兒生長不良的風險高于早產兒配方奶餵養.臨床實踐中建議早產兒齣院後採用彊化母乳餵養.支氣管肺髮育不良患兒齣院後生長障礙風險增加,蛋白質和礦物質彊化配方奶在短期內可以為生長提供有利條件.
조산인출원시상존재명현적체질량저하,조산인출원후영양결핍풍험증가,수밀절수방,감측생장병조기간예.강화모유혹조산인배방내가방조조산인경호적생장,대우출원시체질량소우동태령제10백분위급출생체질량저우1 500 g적영인,건의사용강화모유혹조산인배방내.조산인출원후,미강화모유위양적조산인생장불량적풍험고우조산인배방내위양.림상실천중건의조산인출원후채용강화모유위양.지기관폐발육불량환인출원후생장장애풍험증가,단백질화광물질강화배방내재단기내가이위생장제공유리조건.
Preterm infants are often significantly growth retarded at the time of hospital discharge.They often in the nutritional crisis after hospital discharge,and should be carefully follow up evaluated.Preterm formula and fortified breast milk may improve the growth of preterm infants and is a reasonable option for preterm infants.Preterm formula and fortified breast milk are recommended for preterm infants with weights below the 10th percentile for age at the time of hospital discharge and those birth weights below 1 500 g.After hospital discharge,exclusively human milk-fed preterm infants are at increased risk for suboptimal growth compared to formula-fed infants.Infants with BPD are at increased risk of growth retardation after hospital discharge.Protein and mineral enriched formula may provide short-term growth catch-up.