实用临床医药杂志2025，Vol.29Issue(23)：48-53,6.DOI:10.7619/jcmp.20254463
基于组基轨迹模型的高危早产儿经口喂养进程轨迹及其影响因素研究
Study on the trajectories of oral feeding progress and its influencing factors in high-risk preterm infants based on group-based trajectory modeling
摘要
Abstract
Objective To explore the trends and developmental trajectories of oral feeding pro-gress in high-risk preterm infants,as well as to analyze its influencing factors.Methods A total of 146 high-risk preterm infants were selected as the study subjects.The oral feeding progress curves were determined based on the postmenstrual ages at which the high-risk preterm infants reached three key stages during oral feeding(initiation of oral feeding,initial half-volume oral feeding,and full oral feeding).The feeding progress trajectories were fitted using group-based trajectory modeling.Multiva-riate Logistic regression analysis was employed to screen for the influencing factors of different feeding progress trajectories.Results A total of 146 high-risk preterm infants were included,and three traj-ectories were fitted:early initiation-slow progress(29.45％),mid-term initiation-rapid progress(48.63％),and delayed initiation-sluggish progress(21.92％).The initiation time of oral feeding,feeding method,surgery,colostrum oral smearing,duration of tube feeding and duration of mechanical ventilation were identified as influencing factors for the oral feeding progress trajectories in high-risk preterm infants.Conclusion The oral feeding progress trajectories in high-risk preterm infants can be categorized into three types:early initiation-slow progress,mid-term initiation-rapid progress,and de-layed initiation-sluggish progress.Medical staff should develop individualized feeding management plans based on the influencing factors of feeding progress and intervene in infants with potential delays in oral feeding progress.关键词
高危早产儿/经口喂养/组基轨迹模型/喂养进程/出生体质量/个体化营养/胎龄/影响因素Key words
high-risk preterm infants/oral feeding/group-based trajectory modeling/feed-ing progress/birth weight/individualized nutrition/gestational age/influencing factors分类
医药卫生引用本文复制引用
涂婷,胡蓝,袁颖,丁欣,郭宏卿..基于组基轨迹模型的高危早产儿经口喂养进程轨迹及其影响因素研究[J].实用临床医药杂志,2025,29(23):48-53,6.基金项目
国家自然科学基金项目(82471742) （82471742）
苏州市"科教强卫"面上项目(MSXM2024013) （MSXM2024013）
