先天性心脏病婴幼儿母乳喂养研究进展

doi:10.11852/zgetbjzz2023-0881

中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (4): 429-432.DOI: 10.11852/zgetbjzz2023-0881

先天性心脏病婴幼儿母乳喂养研究进展

郑岩¹, 司在霞¹, 赵丽萍¹, 张金²

1.山东第一医科大学附属省立医院东院区新生儿科,山东济南 250014;
2.山东中医药大学附属医院麻醉科

收稿日期:2023-08-09 修回日期:2024-01-09 发布日期:2024-04-15 出版日期:2024-04-10
通讯作者: 张金,E-mail:151735074@qq.com
作者简介:郑岩(1984-),女,本科学历,主管护师,主要研究方向为新生儿护理。
基金资助:
山东省中医药科技项目(M-2022212)

Research progress of breast-feeding in infants with congenital heart disease

ZHENG Yan¹, SI Zaixia¹, ZHAO Liping¹, ZHANG Jin²

1. Department of Neonatology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong 250014, China;
2. Department of Anesthesiology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine

Received:2023-08-09 Revised:2024-01-09 Online:2024-04-10 Published:2024-04-15
Contact: ZHANG Jin, E-mail:151735074@qq.com

摘要/Abstract

摘要： 母乳是婴幼儿最佳天然食品,还可以降低先天性心脏病(先心病)婴幼儿坏死性小肠结肠炎、喂养不耐受和营养不良等的发生率,改善综合预后。然而,先心病婴幼儿的母乳喂养存在诸多障碍。因国内相关研究较少,本文主要基于国外研究,从母乳对先心病婴幼儿的益处,先心病婴幼儿母乳喂养现状、母乳喂养率低的影响因素以及母乳喂养的实施等方面进行综述,提出未来临床实践的改进方向,以期为国内先心病婴幼儿的母乳喂养管理提供借鉴。

关键词: 先天性心脏病, 婴幼儿, 母乳喂养

Abstract: Breastfeeding is the best natural food for infants. In infants with congenital heart disease(CHD), breast milk can reduce the incidence of necrotizing enterocolitis, feeding intolerance and growth failure, and improve the overall prognosis. However, there are many obstacles to breastfeeding in infants with CHD as well as lack of related domestic research. This study mainly focuses on breastfeeding status, influencing factors, assessment, implementation and solutions for the infants with CHD, and proposed the future research recommendations on clinical practices, in order to provide reference for the breastfeeding management of infants with CHD in China.

Key words: congenital heart disease, infant, breastfeeding

中图分类号:

R725.4

郑岩, 司在霞, 赵丽萍, 张金. 先天性心脏病婴幼儿母乳喂养研究进展[J]. 中国儿童保健杂志, 2024, 32(4): 429-432.

ZHENG Yan, SI Zaixia, ZHAO Liping, ZHANG Jin. Research progress of breast-feeding in infants with congenital heart disease[J]. Chinese Journal of Child Health Care, 2024, 32(4): 429-432.

参考文献

[1] GBD 2017 Congenital Heart Disease Collaborators. Global, regional, and national burden of congenital heart disease, 1990—2017: A systematic analysis for the global burden of disease study 2017[J].Lancet Child Adolesc Health,2020,4(3):185-200.
[2] Martini S, Beghetti I, Annunziata M, et al. Enteral nutrition in term infants with congenital heart disease:Knowledge gaps and future directions to improve clinical practice[J].Nutrients,2021,13(3):932.
[3] 倪平,管咏梅,徐卓明,等.先天性心脏病儿童术后营养不良的危险因素及干预策略研究进展[J].解放军护理杂志,2021,38(10):54-56.
Ni P, Guan YM, Xu ZM,et al. Research progress on risk factors and intervention strategies of postoperative malnutrition in children with congenital heart disease[J].Nurs J Chin PLA,2021,38(10):54-56.(in Chinese)
[4] Tume LN, Balmaks R, da Cruz E, et al. Enteral feeding practices in infants with congenital heart disease across European PICUs:A European society of pediatric and neonatal intensive care survey[J].Pediatr Crit Care Med,2018,19(2):137-144.
[5] Tsintoni A, Dimitriou G, Karatza AA.Nutrition of neonates with congenital heart disease: Existing evidence, conflicts and concerns[J].J Matern Fetal Neonatal Med,2020,33(14):2487-2492.
[6] Elgersma KM, Spatz DL, Fulkerson JA, et al. Patterns of breastfeeding and human milk feeding in infants with single-ventricle congenital heart disease: A population study of the national pediatric cardiology quality improvement collaborative registry[J].Breastfeed Med,2023,18(4):315-325.
[7] Ribas GM, Lima J, Ahlert M, et al. Prevalence of breastfeeding and its obstacles in patients with CHD in southern Brazil[J].Cardiol Young,2020,30(10):1417-1421.
[8] 胡黎舒,魏兵,廖世峨,等. 先天性心脏病患儿术后合并营养不良影响因素及其生存质量分析[J].中国儿童保健杂志,2021,29(8):824-828.
Hu LS,Wei B,Liao SE.Analysis on the influencing factors of postoperative malnutrition in children with congenital heart disease and the quality of life[J]. Chin J Child Health Care, 2021,29(8):824-828.(in Chinese)
[9] Trabulsi JC, Lessen R, Siemienski K, et al. Relationship between human milk feeding patterns and growth in the first year of life in infants with congenital heart defects[J].Pediatr Cardiol, 2023,44(4):882-891.
[10] 裴景君,唐军.母乳营养成分与早产儿脑发育的研究进展[J].中国当代儿科杂志,2019,21(6): 607-612.
Pei JJ,Tang J.A review on the relationship between breast milk nutrients and brain development in preterm infants[J].Chin J Contemp Pediatr, 2019, 21(6): 607-612.(in Chinese)
[11] Feng J, Zhang Y, Zhang J, et al. Evaluation of neurodevelopmental impairments and risk factors in children following cardiac surgery: The first cohort from China[J]. JTCVS Open, 2023, 14: 462-71.
[12] 李敏敏,王莹莹,李倩倩,等. 危重先天性心脏病新生儿术前肠内营养研究进展[J].中华急危重症护理杂志, 2023, 4(2): 125-129.
Lin MM,Wang YY, Li QQ,et al.Research progress of preoperative enteral nutrition in neonates with critical congenital heart disease[J]. Chin J Emerg Crit Care Nurs,2023, 4(2): 125-129.(in Chinese)
[13] Cognata A, Kataria-Hale J, Griffiths P, et al. Human milk use in the preoperative period is associated with a lower risk fornecrotizing enterocolitis in neonates with complex congenital heart disease[J]. J Pediatr, 2019,215:11-16.e2.
[14] Davis JA, Spatz DL. Human milk and infants with congenital heart disease:A summary of current literature supporting the provision of human milk and breastfeeding[J].Adv Neonatal Care,2019,19(3):212-218.
[15] Branco J, Manuel AR, Completo S, et al. Prevalence and predictive factors of exclusive breastfeeding in the first six months of life[J].Acta Med Port,2023,36(6):416-423.
[16] Liakou E, Christou E, Iacovidou N, et al. The rates of breastfeeding in baby-friendly hospitals in Greece: A nationwide survey[J]. Children(Basel),2022,9(12):1792.
[17] 许娅,李瑞恒,戚继荣,等. 某儿童医院低月龄先天性心脏病患儿重症监护期间母乳喂养现状调查及对策[J].现代医学,2018,11:1215-1219.
Xu Y, Li RH, Qi JR, et al.Investigation on current situation of breastfeeding in infants with congenital heart disease and its countermeasures[J]. Modern Medical Journal,2018,11:1215-1219.(in Chinese)
[18] Karpen HE. Nutrition in the cardiac newborns: Evidence-based nutrition guidelines for cardiac newborns[J]. Clin Perinatol,2016,43(1):131-145.
[19] 曹云,李正红,韩树萍,等.新生儿重症监护室母乳使用专家共识[J].中国循证儿科杂志,2021,16(3):171-178.
Cao Y, Li ZH, Han SP,et al.Expert consensus on breast milk use in neonatal intensive care units[J].Chin J Evid Based Pediatr,2021,16(3):171-178.(in Chinese)
[20] Demirci J, Caplan E, Brozanski B, et al. Winging it: Maternal perspectives and experiences of breastfeeding newborns with complex congenital surgical anomalies[J].J Perinatol,2018,38(6):708-717.
[21] Torowicz DL, Seelhorst A, Froh EB, et al. Human milk and breastfeeding outcomes in infants with congenital heart disease[J]. Breastfeed Med,2015,10(1):31-37.
[22] Kataria-Hale J, Roddy DJ, Cognata A, et al. A preoperative standardized feeding protocol improves human milk use in infants with complex congenital heart disease[J].J Perinatol,2021,41(3):590-597.
[23] Tandberg BS, Ystrom E, Vollrath ME, et al. Feeding infants with CHD with breast milk: Norwegian mother and child cohort study[J].Acta Paediatr,2010,99(3):373-378.
[24] Lee J, Kim HS, Jung YH, et al. Oropharyngeal colostrum administration in extremely premature infants: A RCT[J] Pediatrics,2015,135:e357-366.
[25] Snyder R, Herdt A, Mejias-Cepeda N, et al. Early provision of oropharyngeal colostrum leads to sustained breast milk feedings in preterm infants[J].Pediatr Neonatol,2017,58(6):534-540.
[26] Yu XR, Huang ST, Xu N, et al. The effect of early oral stimulation with breast milk on the feeding behavior of infants after congenital cardiac surgery[J].J Cardiothorac Surg,2020,15(1):309.
[27] Steltzer MM, Sussman-Karten K, Kuzdeba HB, et al. Creating opportunities for optimal nutritional experiences for infants with complex congenital heart disease[J].J Pediatr Health Care,2016,30(6):599-605.
[28] Gregory C. Use of test weights for breastfeeding infants with congenital heart disease in a cardiac transitional care unit: A best practice implementation project[J].JBI Database System Rev Implement Rep,2018,16(11):2224-2245.
[29] 杨玉霞,顾莺.先天性心脏病术后患儿早期肠内营养喂养不耐受的研究进展[J].护士进修杂志,2019,34(2):126-129.
Yang YX,Gu Y.Research progress on early enteral nutrition intolerance in postoperative children with congenital heart disease[J].J Nurs Training,2019,34(2):126-129.(in Chinese)

先天性心脏病婴幼儿母乳喂养研究进展

Research progress of breast-feeding in infants with congenital heart disease

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	孙瑜, 刘婉, 洪心敏, 刘国琴, 李培培, 李卫东, 郭锋, 邵子瑜. 早产儿出院后母婴皮肤接触对母乳喂养及其神经行为发育的影响[J]. 中国儿童保健杂志, 2024, 32(9): 964-968.
[2]	吴珊红, 王艳, 袁一鸣, 赵明月, 宫子涵, 张紫微, 李天益, 裴飞. 母亲产后抑郁对婴幼儿生长发育的影响[J]. 中国儿童保健杂志, 2024, 32(9): 994-998.
[3]	韦萍, 韦霁珊, 黄旭华, 张宇星, 刘湘红, 何仲彪, 莫靖媛, 黄增帅, 玉群. 心脏听诊、血氧饱和度检测联合吸氧情况在广西新生儿先天性心脏病筛查中的应用[J]. 中国儿童保健杂志, 2024, 32(9): 1034-1039.
[4]	周琼, 刘海波, 胡必梅, 郭玉清. 母亲喂养方式、婴幼儿饮食行为及气质对儿童超重肥胖的影响[J]. 中国儿童保健杂志, 2024, 32(8): 850-855.
[5]	潘虹地, 张悦, 杨玉凤, 郑毅, 金星明, 贾美香, 静进, 邵洁, 王惠珊. 中国婴幼儿心理行为发育里程碑检查表的编制[J]. 中国儿童保健杂志, 2024, 32(7): 739-745.
[6]	孟森玲, 丁媛. 南昌市717名0~35月龄婴幼儿睡眠现状分析[J]. 中国儿童保健杂志, 2024, 32(7): 795-798.
[7]	李雪峰, 刘亚昆, 郎静, 魏守刚. 基于随机森林算法探讨血液中营养与代谢相关指标在1~6岁儿童肥胖中的相对重要性[J]. 中国儿童保健杂志, 2024, 32(6): 625-630.
[8]	王蔚沁, 刘钟泠, 霍言言, 万勤, 刘巧云, 吴丹, 陈凌燕, 陈津津. 小于胎龄儿神经认知发育的研究进展[J]. 中国儿童保健杂志, 2024, 32(5): 527-533.
[9]	孙泽容, 钱永东. 婴幼儿早期动作发育异常预测性应用进展[J]. 中国儿童保健杂志, 2024, 32(5): 538-542.
[10]	汪之顼. 婴幼儿辅食添加的新理念[J]. 中国儿童保健杂志, 2024, 32(4): 362-367.
[11]	冯爽, 王朝晖, 王栋, 任姣姣, 李红娟, 葛沙莎. 西安市3岁以下婴幼儿足部发育水平研究[J]. 中国儿童保健杂志, 2024, 32(4): 440-444.
[12]	马晓兰, 王慧玲, 曹婷, 马晓蓉, 徐娟娟, 韩琦, 马昊兰, 何晓阳, 马剑华, 张格祥. 临夏回族自治州6~24月龄婴幼儿贫血现状及与喂养方式的关联[J]. 中国儿童保健杂志, 2024, 32(3): 273-279.
[13]	徐敏, 单延春, 冉霓, 杨召川, 衣明纪. 亲子同床睡眠的现状以及对儿童健康的影响[J]. 中国儿童保健杂志, 2024, 32(3): 312-316.
[14]	童梅玲. 婴幼儿养育照护中早期学习机会的创设[J]. 中国儿童保健杂志, 2024, 32(2): 117-121.
[15]	董文红, 姚新萌, 许鑫, 吕丽娜, 汪沙沙, 郑双双, 王蕾, 朱冰泉, 邵洁. 婴幼儿入托影响因素及在托婴幼儿托育情况分析[J]. 中国儿童保健杂志, 2024, 32(2): 122-126.