摘要
由于早产儿胃肠道动力不足,消化酶和激素的分泌减少,细菌定植异常和局部免疫力的不成熟,使得早产儿喂养不耐受成为新生儿医学中的常见问题。临床主要表现为过量的胃残余量,腹胀或呕吐,或两者皆有,导致肠内喂养计划中断。早产儿喂养策略在于优先肠内营养而不增加新生儿坏死性小肠结肠炎(NEC)的风险。早产儿喂养不耐受的预防或治疗方法的确切疗效尚需进行大规模的随机临床研究及系统综述进一步评价。
Because of the immature gastrointestinal functions （motility, enzymatic digestion, hormonal responses, bacterial colonization and local immunity）, preterm infants are prone to feeding intolerance （FI） , which is associated with the presence of excessive gastric residuals, abdominal distention,vomiting and the disruption of the patient＇ s feeding plan. The feeding strategies in premature is that enteral nutrition should be priority without increasing the risk of neonatal neerotizing enteroeolitis （NEC）. Strategies aiming at preventing and/or treating FI are diverse, although very few have been validated in large RCT and systematic reviews.
出处
《中国实用儿科杂志》
CSCD
北大核心
2015年第2期95-99,共5页
Chinese Journal of Practical Pediatrics
关键词
早产儿
喂养不耐受
肠内喂养
坏死性小肠结肠炎
preterm
feeding intolerance
enteral feeding
necrotizing enterocolitis （ NEC ）
