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早期母乳喂养对 NICU 住院早产极低体重儿宫外生长发育的影响

梁玉美 冯燕妮 杨松媚 林梅

右江医学2016,Vol.44Issue(3):265-269,5.
右江医学2016,Vol.44Issue(3):265-269,5.DOI:10.3969/j.issn.1003-1383.2016.03.005

早期母乳喂养对 NICU 住院早产极低体重儿宫外生长发育的影响

Effect of early breast feeding on the extrauterine growth of very low weight premature infants in NICU

梁玉美 1冯燕妮 1杨松媚 1林梅1

作者信息

  • 1. 右江民族医学院附属医院新生儿科,百色 533000
  • 折叠

摘要

Abstract

Objective To explore the effect of early breast feeding on the growth and feeding related adverse events of very low birth weight premature infants.Methods According to the ways of feeding,the very low birth weight premature in-fants were divided into early breast feeding group and premature milk feeding group.The former group were fed with maternal breast milk from the opening of milk to the volume of maternal breast milk increasing to 100 ml·kg-1 ·d-1 ,and then were fed with premature milk until they left hospital. The latter group were fed with premature milk until they left hospital.The change of weight,length,head circumference,etc of two groups during their hospitalization were monitored.In addition,the rate of growth,the time of recovering to the weight of born,application time of intravenous nutrition and time of the volume increas-ing to 100 ml·kg-1 ·d-1 ,the days of hospitalization,the incidence rate of extrauterine growth retardation upon leaving hospi-tal and the adverse events related to feeding during hospital stay between two groups were compared.Results No statistically significant difference was found in the growth rate of weight,length,head circumference,the time of recovering to the weight of born,application time of intravenous nutrition and time of the volume increasing to 100 ml·kg-1 ·d-1 ,and the incidence rate of extrauterine growth retardation upon leaving hospital between the two groups(P>0.05).The incidence rate of adverse events such as feeding intolerance,neonatal necrotizing ulcerative colitis( NEC)and the incidence of infection of breast feeding group was lower than that of the premature milk feeding group,and the hospital stay was shorter as well,so difference between the two groups was statistically significant(P<0.05).Conclusion Growth and development of the breast feeding group is similar to that of the premature milk feeding group,and the former group is safer.

关键词

母乳喂养/早产儿/宫外生长发育迟缓

Key words

breast feeding/premature infant/extrauterine growth restriction

分类

医药卫生

引用本文复制引用

梁玉美,冯燕妮,杨松媚,林梅..早期母乳喂养对 NICU 住院早产极低体重儿宫外生长发育的影响[J].右江医学,2016,44(3):265-269,5.

基金项目

广西医药卫生自筹经费计划课题 ()

右江医学

1003-1383

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