Objective To explore the different feeding methods of baby immune function,and guide baby appropriate feeding practices. Methods Totally 69 cases healthy term infants were selected who born from Xiaogan Affiliated Hospital of Wuhan University of Science and Technalogy during the time from January 2014 to January 2015 as research objects.According the different feeding methods to dividing them into three groups,breastfeeding group(group Ⅰ),partial breastfeeding group(group Ⅱ)and artificial group(group Ⅲ),whom had regularly outpatient follow-up visits respectively in 1,3,6 months age and 12 months age.The occurrence of respiratory tract infection,test blood interleukin-6 (IL-6),blood IgG,IgM and IgA level in peripheral blood were observed,and the test results were analyzed. Results Group Ⅰ and group Ⅲ had obvious difference in the number of recurrent respiratory tract infections within 12 months age (χ2=5.463,P=0.019);The content of blood IgG had significant differences (P<0.05)in 6 months age,that of group Ⅰ(7.189±1.525) was higher than that of group Ⅱ (6.136±1.105) and group Ⅲ (5.240±1.065);The content of blood IgM had significant differences (P<0.05)in 6 months age,that of group Ⅰ(0.784±0.268) higher than that of group Ⅱ(0.675±0.189) and group Ⅲ(0.527±0.190).And the blood IgM content between group Ⅰ(1.485±0.427) and group Ⅱ(1.392±0.452)had no significant differences in 12 months age,but both groups had obvious differences compared with group Ⅲ(P<0.05);The content of blood IgA had significant differences in 1,3,6 and 12 months (P<0.05);The content of blood interleukin-6 had significant differences between three groups during 6 months age,as follows group Ⅰ(14.782±2.487),group Ⅱ(12.520±2.014) and group Ⅲ(11.051±1.904);It had no obvious differences (P>0.05) in 12 months age between group Ⅰ (16.285±3.112) and group Ⅱ(15.854±3.281),but both had significant differences compared with group Ⅲ(12.058±2.840)(P>0.05). Conclusions Feeding methods have effects on infants immune function,especially breastfeeding can increase infants immunity and reduce their repeated respiratory infection prevalence.When mothers have no enough breast milk,timely adding formula feeding can prevent the baby immune suppression.
Key words
feeding methods /
infant /
infection /
immune function
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 刘婷婷,曾坪,钟俊,等.不同喂养方式对婴儿体格发育及营养状况的影响研究[J].中国全科医学,2013,16(29):3428-3430.
[2] 李子一,宁一冰,马德福,等.生后0~6月不同喂养方式对7~12月龄婴儿能量摄人和体格发育的影响[J].中华围产医学杂志,2013,16(7):416-421.
[3] 王卫平.儿科学[M].8版.北京:人民卫生出版社,2013:54-58.
[4] 中华医学会儿科分会呼吸学组,《中华儿科杂志》编辑委员.反复呼吸道感染的临床概念和处理原则[J].中华儿科杂志,2008,46(2):108-110.
[5] 杨锡强.婴儿早期营养对免疫功能的影响[R].全国儿科疾病诊治技术学术会议,2012.
[6] 何振娟.母乳中保护性成分的作用[J].中华围产医学杂志,2014,17(7):441-443.
[7] Sedykh SE,Buneva VN,Nevinsky GA.Human milk slgA molecules contain various combinations of different antigen-binding sites resulting in a multiple binding specificity of antibodies and enzymatic activities of abzymes[J].PLoS One,2012,7:e48756.
[8] 陈藜,戴耀华.纯母乳喂养的最佳持续时间的研究进展[J].中国儿童保健杂志,2007,15(6):640-642.
[9] 翟英辰,李菁.低温保存对人乳营养成分和免疫物质的影响[J].临床儿科杂志,2015,33(5):477-482.