摘要
早产/低出生体重儿是一人需要特殊关注的群体,近年来其出生率、抢救成功率以及存活率大大得到了提高,但存活的早产儿常常面临着七大发育障碍,其归根究底还是营养问题。由于其生理成熟度低,导致其不具备足够的宫外生存能力而背负不同程度的营养债(宫内营养债和宫外营养债)。也因此,早期、充足、均衡的营养喂养是保证其生命质量的物质基础。建议使用纵向生长速率并计算营养债来实现个体化的营养喂养方案。
关键词
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参考文献
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[15] Zarbock SF. Hospital discharge of the high-risk neonate. Home Care Provid[J].1998,3(6):302-303.
[16] Reginald C, Ricardo Uauy, Berthold Koletzko, et al.早产儿营养基础与实践指南[M].北京:人民卫生出版社,2008:306-327.
[2] 早产儿营养调查协作组.新生儿重症监护病房中早产儿营养相关状况多中心调查974例报告[J].中华儿科杂志,2009,47(1):12-17.
[3] Vohr BR. Beneficial effects of breast milk in the neonatal intensive care unit on the developmental outcome of extremely low birth weight infants at 18 months of age[J]. Pediatrics,2006,118:115-123.
[4] Meinzern-Derr J, Poindexter B, Wrage L, et al. Role of human milk in extremely low birth weight infants' risk of necrotizing enterocolitis or death[J]. J Perinatol,2009,29(1):57-62.
[5] Mukhopadhyay K. Effect of human milk fortification in appropriate for gestation and small for gestation preterm babies: a randomized controlled trial[J]. Indian Pediatr,2007,44(4):286-290.
[6] Groh-Wargo S, Sapsford A. Enteral nutrition support of the preterm infant in the neonatal intensive care unit[J]. Nutr Clin Pract,2009,24(3):363-376.
[7] Florendo KN, Bellflower B, van Zwol A, et al. Growth in preterm infants fed either a partially hydrolyzed whey or an intact casein/whey preterm infant formula[J]. J Perinatol,2009,29(2):106-111.
[8] Stumm S, Barlow SM, Estep M, et al. Respiratory Distress Syndrome Degrades the Fine Structure of the Non-Nutritive Suck In Preterm Infants[J]. J Neonatal Nurs,2008,14(1):9-16.
[9] Ehrenkranz RA, Younes N, Lemons JA, et al. Longitudinal growth of hospitalized very low birth weight infants[J]. Pediatrics,1999,104(2Pt1):280-289.
[10] 丁宗一 .中国0~72个月儿童生长纵向研究[J].中华儿科杂志,1996,34(2):93-96.
[11] Wheeler BJ. Human-milk feeding after NICU discharge[J]. Neonatal Netw,2009,28(6):381-389.
[12] McCormick FM, Henderson G, Fahey T, et al. Multinutrient fortification of human breast milk for preterm infants following hospital discharge[J]. Cochrane Database Syst Rev,2010,7:CD004866.
[13] Adamkin DH. Postdischarge nutritional therapy[J]. J Perinatol,2006,26(1):27-30.
[14] Lucas A, Bishop NJ, King FJ. Randomized trial of nutrition for preterm infants after discharge[J]. Arch Dis Chil,1992,67:324-327.
[15] Zarbock SF. Hospital discharge of the high-risk neonate. Home Care Provid[J].1998,3(6):302-303.
[16] Reginald C, Ricardo Uauy, Berthold Koletzko, et al.早产儿营养基础与实践指南[M].北京:人民卫生出版社,2008:306-327.
基金
全国博士后基金项目(20080431407)
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