个体化母乳强化在早产儿生长发育中的应用研究进展

谭继磊, 韦琴, 黄晓波, 冯昭嫣, 宋静雯

中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (2) : 173-175.

PDF(405 KB)
PDF(405 KB)
中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (2) : 173-175. DOI: 10.11852/zgetbjzz2019-1883
综述

个体化母乳强化在早产儿生长发育中的应用研究进展

  • 谭继磊, 韦琴, 黄晓波, 冯昭嫣, 宋静雯
作者信息 +

Progress on the application of individualized human milk fortification in the growth and development of preterm infants

  • TAN Ji-lei, WEI Qin, HUANG Xiao-bo, FENG Zhao-yan, SONG Jing-wen
Author information +
文章历史 +

摘要

随着新生儿重症医学的快速发展,早产儿的存活率显著提高,其生存质量逐渐受到关注。住院期间的营养是影响早产儿近期和远期生存质量的关键因素之一。有研究表明,住院期间对早产儿实施个体化母乳强化,不仅能优化营养,同时还能促进最佳的生长模式。因此,本文对早产儿的个体化母乳强化进行系统综述,为临床工作提供参考。

Abstract

With the rapid development of neonatal critical care medicine,the survival rate of preterm infants has significantly improved,and their life quality is gradually concerned.Nutrition during hospitalization is one of the key determinants of short-term and long-term quality of life in preterm infants.And it's reported that the implementation of individualized human milk fortification during hospitalization can not only optimize nutrition,but also promote the best growth patterns.Therefore,this article reviews the individualized human milk fortification of preterm infants,in order to provide references for clinical work.

关键词

个体化母乳强化 / 早产儿 / 生长 / 发育

Key words

individualized human milk fortification / preterm infant / growth / development

引用本文

导出引用
谭继磊, 韦琴, 黄晓波, 冯昭嫣, 宋静雯. 个体化母乳强化在早产儿生长发育中的应用研究进展[J]. 中国儿童保健杂志. 2021, 29(2): 173-175 https://doi.org/10.11852/zgetbjzz2019-1883
TAN Ji-lei, WEI Qin, HUANG Xiao-bo, FENG Zhao-yan, SONG Jing-wen. Progress on the application of individualized human milk fortification in the growth and development of preterm infants[J]. Chinese Journal of Child Health Care. 2021, 29(2): 173-175 https://doi.org/10.11852/zgetbjzz2019-1883
中图分类号: R174   

参考文献

[1] 张蓓,肖绪武.低出生体重儿合理营养及评价的研究进展[J].中国儿童保健杂志,2012,20(5):431-434.
[2] 高晓燕,冯琳,许靖,等.早产儿出院后追赶生长的随访观察及宫外发育迟缓的影响因素[J].中国当代儿科杂志,2018,20(6):438-443.
[3] 廖文君.低出生体重早产儿宫外发育迟缓的相关因素分析[J].海南医学,2014,25(19):2845-2848.
[4] 蔡岳鞠,宋燕燕,黄志坚,等.宫内发育迟缓早产儿生后生长迟缓对早期神经发育的影响[J].中国当代儿科杂志,2015,17(9):893-897.
[5] 詹兴星,包蕾.早产儿宫外发育迟缓及相关危险因素分析[J].临床儿科杂志,2015,33(12):1016-1020.
[6] 房晓祎,张霭润,林瀚妮,等.早产儿住院期间及出院后早期营养状况分析[J].中国儿童保健杂志,2019,27(6):642-645.
[7] 丁国芳.极低出生体重儿尽早达到足量肠内营养喂养策略——《极低出生体重儿喂养指南》解读[J].中国实用儿科杂志,2016,31(2):85-89.
[8] 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.
[9] Kumar RK,Singhal A,Vaidya U,et al.Optimizing nutrition in preterm low birth weight infants-consensus summary[J].Front Nutr,2017,4:20.
[10] 全美盈,王丹华.早产儿母乳喂养新概念:个体化母乳强化[J].中国新生儿科杂志,2013,28(2):129-132.
[11] 何必子,孙秀静,全美盈,等.早产母乳营养成分的分析[J].中国当代儿科杂志,2014,16(7):679-683.
[12] Amissah EA,Brown J,Harding JE.Protein supplementation of human milk for promoting growth in preterm infants[J].Cochrane Database Syst Rev,2018,6:CD000433.
[13] Cormack BE,Embleton ND,van Goudoever JB,et al.Comparing apples with apples:it is time for standardized reporting of neonatal nutrition and growth studies[J].Pediatr Res,2016,79(6):810-820.
[14] Arslanoglu S,Boquien CY,King C,et al.Fortification of human milk for preterm infants:update and recommendations of the European Milk Bank Association (EMBA) working group on human milk fortification[J].Front Pediatr,2019,7:76.
[15] 张谦慎,贺红云.早产儿住院期间的营养评估[J].中国新生儿科杂志,2015,30(6):475-477.
[16] Moro GE,Minoli I,Ostrom M,et al.Fortification of human milk:evaluation of a novel fortification scheme and of a new fortifier[J].J Pediatr Gastroenterol Nutr,1995,20(2):162-172.
[17] Arslanoglu S,Bertino E,Coscia A,et al.Update of adjustable fortification regimen for preterm infants:a new protocol[J].J Biol Regul Homeost Agents,2012,26(Suppl 3):65-67.
[18] Polberger S,Raiha NC,Juvonen P,et al.Individualized protein fortification of human milk for preterm infants:comparison of ultrafiltrated human milk protein and a bovine whey fortifier[J].J Pediatr Gastroenterol Nutr,1999,29(3):332-338.
[19] Agostoni C,Buonocore G,Carnielli VP,et al.Enteral nutrient supply for preterm infants:commentary from the european society of paediatric gastroenterology,hepatology and nutrition committee on nutrition[J].J Pediatr Gastroenterol Nutr,2010,50(1):85-91.
[20] Arslanoglu S,Moro G E,Ziegler E E.Adjustable fortification of human milk fed to preterm infants:does it make a difference?[J].J Perinatol,2006,26(10):614-621.
[21] Alan S,Atasay B,Cakir U,et al.An intention to achieve better postnatal in-hospital-growth for preterm infants:adjustable protein fortification of human milk[J].Early Hum Dev,2013,89(12):1017-1023.
[22] Quan M,Wang D,Gou L,et al.Individualized human milk fortification to improve the growth of hospitalized preterm infants[J].Nutr Clin Pract,2020,35(4):680-688.
[23] 王书焕,刘戈力,刘杨,等.个性化添加母乳强化剂对母乳喂养早产儿生长发育的影响[J].中国儿童保健杂志,2019,27(2):194-197.
[24] Arnold M,Adamkin D,Radmacher P.Improving fortification with weekly analysis of human milk for VLBW infants[J].J Perinatol,2017,37(2):194-196. [25] Morlacchi L,Mallardi D,Gianni ML,et al.Is targeted fortification of human breast milk an optimal nutrition strategy for preterm infants? An interventional study[J].J Transl Med,2016,14(1):195.
[26] Rochow N,Fusch G,Choi A,et al.Target fortification of breast milk with fat,protein,and carbohydrates for preterm infants[J].J Pediatr,2013,163(4):1001-1007.
[27] Reali A,Greco F,Marongiu G,et al.Individualized fortification of breast milk in 41 extremely low birth weight (ELBW) preterm infants[J].Clin Chim Acta,2015,451(Pt A):107-110.
[28] Kadioglu SG,Alyamac DE,Arayici S,et al.Comparison of the effect of three different fortification methods on growth of very low birth weight infants[J].Breastfeed Med,2019,14(1):63-68.
[29] Bulut O,Coban A,Uzunhan O,et al.Effects of targeted versus adjustable protein fortification of breast milk on early growth in very low-birth-weight preterm infants:a randomized clinical trial[J].Nutr Clin Pract,2020,35(2):335-343.
[30] Michaela M,Christoph M,Christine B,et al.Effect of increased enteral protein intake on plasma and urinary urea concentrations in preterm infants born at<32 weeks gestation and<1 500 g birth weight enrolled in a randomized controlled trial - a secondary analysis[J].BMC Pediatrics,2018,18(1):154.
[31] Kanmaz HG,Mutlu B,Canpolat FE,et al.Human milk fortification with differing amounts of fortifier and its association with growth and metabolic responses in preterm infants[J].J Hum Lact,2013,29(3):400-405.
[32] 桂园园,范玲.母乳强化剂在母乳喂养早产儿中的应用进展及护理[J].护理研究,2016,30(12):1412-1417.

基金

广西自然科学基金面上项目(2016GXNSFAA380265)、广西医药卫生自筹经费计划课题(Z2016360)、广西卫健委课题(Z2012136)

PDF(405 KB)

Accesses

Citation

Detail

段落导航
相关文章

/