关键词: 营养状况, 神经发育, 极低出生体重儿
中图分类号:R722 文献标识码:A 文章编号:1008-6579(2015)08-0837-03 doi:10.11852/zgetbjzz2015-23-08-17

Abstract: Objective To investigate the effects of early nutritional status of very low birth weight infants (VLBWI) in neonatal intensive care unit (NICU) on their neurologic development thereafter.Methods The study was conducted in NICU of Guangzhou Women and Children's Medical Center from January 2013 to June 2014.A total of 86 VLBWIs who met the entry criteria had been followed up in highrisk infant outpatient service after leaving hospital regularly,and they were assigned to two groups (normal neural development group and abnormal neurologic development group) according to their development quotients (DQ) examined through development test at 3 months corrected age,then their nutritional status were analyzed during hospitalization respectively.Results In normal neurologic development group,the gross energy and the proportion of enteral energy were higher compared with abnormal neurologic development group on 4 d,7 d and 14 d after birth,and the supply of amino acids was also higher than that abnormal neurologic development group on 4 d and 7 d after birth,the statistical differences were significant (P＜0.05);Compared with abnormal neurologic development group,the weight reduction of VLBWIs in normal neurologic development group was less and they could revert to birth weight and achieve full gastrointestinal feeding earlier,the difference between two groups had statistical significance (P＜0.05).Conclusion Early better nutritional status of VLBWI can improve the effects of their neurologic development significantly.

Key words: nutritional status, neurologic development, very low birth weight infants