妇儿健康导刊2023，Vol.2Issue(24)：11-15,5.
喂养不耐受对早产儿纠正胎龄2岁以内神经心理行为发育的影响
Influence of feeding intolerance on the development of neurop-sychological behavior in preterm infants under 2 years of corrected gestational age
陈均 1敖当 2叶金秋3
作者信息
- 1. 广东医科大学,广东湛江 524023
- 2. 广东医科大学附属医院,广东湛江 524001
- 3. 广东省茂名市妇幼保健院,广东茂名 525000
- 折叠
摘要
Abstract
Objective To explore the influence of feeding intolerance on the development of neuropsychological behavior in preterm infants under 2 years of corrected gestational age.Methods A retrospective analysis of 358 preterm infants admitted to the Department of Neonatology,Maoming Maternal and Child Health Hospital from October 2017 to October 2020 was conducted.All the children were divided into the feeding intolerance(FI)group and the feeding tolerance(FT)group according to feeding intolerance,with 179 cases in each group.The development of neuropsychological behavior in corrected age of 6,12 and 24 months between the two groups was compared.Results The scores of developmental quotient(DQ)and mental index(MI)in corrected age of 6 and 12 months of the FI group were lower than those of the FT group(P<0.05).There were no statistically significant differences in the scores of DQ and MI in corrected age of 24 months between the two groups(P>0.05).The data were stratified by gestational age less than 28 weeks,28 weeks to 31+6 weeks,32 weeks to 33+6 weeks and 34 weeks to 36+6 weeks.In corrected age of 6 months,the scores of DQ and MI in each gestational age stage of the FI group were lower than those of the FT group(P<0.05).In corrected age of 12 months,the scores of DQ and MI in gestational age less than 32 weeks of the FI group were lower than those of the FT group(P<0.05).And there were no statistically significant differences in the scores of DQ and MI in gestational age more than 32 weeks between the two groups(P>0.05).In corrected age of 24 months,there were no statistically significant differences in the scores of DQ and MI between the two groups(P>0.05).Conclusion The development of neuropsychologic behavior in preterm infants with FI in corrected age of 6 and 12 months lags behind those with FT.The younger the gestational age,the more lasting the influence of FI on the development of neurobehavioral behavior.Preterm infants with FI achieve catch-up in the development of neuropsychological behavior in corrected age of 24 months.关键词
早产儿/喂养不耐受/神经心理行为/发育/预后/营养Key words
Preterm infant/Feeding intolerance/Neuropsychological behavior/Development/Prognosis/Nutrition分类
医药卫生引用本文复制引用
陈均,敖当,叶金秋..喂养不耐受对早产儿纠正胎龄2岁以内神经心理行为发育的影响[J].妇儿健康导刊,2023,2(24):11-15,5.
