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早产儿院内和出院后营养管理分析

余慕雪 庄思齐 郭楚怡 谢巧庆 司徒妙琼 陈静蓉 何美群

继续医学教育2016,Vol.30Issue(11):122-123,2.
继续医学教育2016,Vol.30Issue(11):122-123,2.DOI:10.3969/j.issn.1004-6763.2016.11.069

早产儿院内和出院后营养管理分析

Analysis of Nutrition Management of Preterm Infant During Hospitalization and Post-discharge

余慕雪 1庄思齐 1郭楚怡 1谢巧庆 1司徒妙琼 1陈静蓉 1何美群1

作者信息

  • 1. 中山大学附属第一医院儿科,广东 广州 510080
  • 折叠

摘要

Abstract

Objective To investigate the nutrition management of preterm infant during hospitalization and post-discharge.Methods In this study, the nutrition management and growth evaluation of an extremely low birth weight preterm infant (gestational age of 25+2 weeks, birth weight 550 g during hospitalization and post-discharge were analyzed.Results The preterm infant was performed central venous access within 24 hours and received the minimal enteral nutrition with breast milk by Tube feeding within 36 hours after birth. During the process of increasing the breast milk feeding volume and the proportion of fortiifer, the parenteral nutrition was decreased by adjusting the parenteral nutrition composition and energy density individually. The infant achieved full enteral feeding of full-fortified breast milk at corrected gestational age of 37+5 weeks. The centiles for weight and head circumference in the growth chart of the preterm infant were increased gradually and he was discharged at corrected gestational age of 41+6 weeks. The preterm infant received nutrition management such as nutrition fortification and complementary feeding individually after discharge in order to adequate healthy catch-up growth and neurodevelopment.Conclusion The aggressive nutrition including parenteral and enteral during hospitalization and individualized nutrition management post-discharge is effective in improving growth and neurodevelopment of preterm infants.

关键词

早产儿/院内/出院后/营养

Key words

Preterm infant/Hospitalization/Post-discharge/Nutrition management

分类

医药卫生

引用本文复制引用

余慕雪,庄思齐,郭楚怡,谢巧庆,司徒妙琼,陈静蓉,何美群..早产儿院内和出院后营养管理分析[J].继续医学教育,2016,30(11):122-123,2.

基金项目

广东省自然科学基金资助项目 ()

继续医学教育

1004-6763

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