摘要
目的探讨不同喂养方式对早产新生儿生长发育、营养和健康状况的影响。方法选取2011年3月至2012年6月该院新生儿病房早产新生儿126例作为研究对象,依据喂养方式的不同分为母乳喂养组(41例)、早产儿特定配方奶粉喂养组(49例)和混合喂养组(36例),分别于出生后30、60、90、180、270d随访观察婴儿身长、头围和体质量增长速率、营养和健康状况。结果出生后30、60、90、180、270d龄配方奶粉喂养组早产新生儿的体质量和身长增长速率均高于单独母乳喂养和混合喂养组(P<0.05);头围的增长率配方奶粉组仅在60、90d龄时显著高于其他两组(P<0.05),其余年龄段比较差异无统计学意义(P>0.05);3组早产新生儿的营养状况比较差异均无统计学意义(P>0.05),且随访观察结果显示,母乳喂养组和混合喂养组各出现1例新生儿黄疸,配方奶粉组出现1例新生儿肺炎,差异亦无统计学意义(χ2=0.581,P>0.05)。结论早产儿配方奶粉喂养对早产新生儿的生长发育亦有良好的促进作用,且能减少发育迟缓的发生。
Objective To investigate the influence of different feeding modes on grow th ,development and healthy status in preterm newborns .Methods 126 healthy preterm newborns in the neonatal wards of our hospital from March 2011 to June 2012 were selected as the study subjects and divided into the breast feeding group（n=41） , premature specific formula‐fed group （n=49） and mixed feeding group （36 cases） according to different feeding pat‐terns .The length ,head circumference and weight growth rate ,nutrition and health status were followed up on postna‐tal 30 ,60 ,90 ,180 ,270 d .Results The weight and height growth rate on postnatal 30 ,60 ,90 ,180 ,270 d in the formu‐la‐fed group were significantly higher than those in the single breast feeding group and the mixed feeding group （P〈0 .05）;the head circumference growth rate on postnatal 60 ,90 d in the formula‐fed group group was significantly higher than that in the other two groups （P〈0 .05） ,but which in the other age groups had no statistically significant differences （P〉 0 .05）;there was no statistically significant difference in the nutritional status among the three groups （P〉0 .05） .The follow‐up results showed that the mixed feeding group and the breast feeding group had 1 case of neonatal jaundice each ,and the formula‐fed group had 1 case of neonatal pneumonia ,the difference was not statistically significant（χ2 =0 .581 ,P〉 0 .05） .Conclusion Premature specific formula feeding also has the better promoting effect on neonatal grow th and development ,moreover reduces the incidence of development retardation .
出处
《检验医学与临床》
CAS
2015年第17期2520-2522,2525,共4页
Laboratory Medicine and Clinic
基金
重庆市卫生和计划生育委员会科技计划项目(2011-2-490)
关键词
母乳
配方奶粉
生长发育
营养
早产儿
breast milk
formula
growth and development
nutrition
preterm children
