早产儿临床营养支持策略.pdfVIP

±堡塞旦』!整!逝壅盘查!!!!生!旦箜!!鲞箜!塑垦!尘!垒PP!垦!也堡!!塑!!塑!型!!!!!!!!：!!!坠：! ·81· ·专家论坛· 早产儿临床营养支持策略 邬方彦贲晓明 【摘要】 随着近年来早产儿成活率的提高，营养支持成为新生儿重症监护的一个重要内容。积极的营养 支持策略可减少宫外生长发育迟缓，加快体格生长，促进智能发育。但体质量过度增长，也可能会增加远期肥 胖和心血管疾病的风险。现主要介绍并解读“2010欧洲儿科胃肠肝病学与营养学会(ESPGHAN)对于早产儿 肠内营养需求的建议”，为早产儿医护人员提供一个循证医学的营养摄入指南。 【关键词】 婴儿，早产；营养支持策略；肠内营养；肠外营养；指南 Nutritionalfor infantsWu strategies premature Fangyan，BenXiaoming．DepartmentofNeonatology，Shanghai and School 尉瑙￡MaternityInfantHospital，Tont石iUniversityofMedicine，Shanghai200040，China Correspondingauthor：Ben Xiaoming。Email：benxm@163．con Assurvivalof infantshas hasbecomeamore 【Abstract】 increased，nutritional premature support prominent of nutritional canreducetheincidenceofextranterine componentpatientcare．Aggressivestrategies retardation growth the and the of excessive also (EUGR)，speedup physical promote intelligence．But growth development weightgainmay increaserisk the of andcardiovasculardiseasesinthefuture．Thisreview introducesand the obesity mainly interprets ”enteralnutrient for fromthe forPaediatric supplypreterminfants：commentaryEuropeanSociety Gastroenterology and an nutritional Nutrition(ESPGHAN)，2010”，toevidence—basedmedicine for Hepatology provide guideline pre． terminfants． 【Keywords】Infant，premature；Nutritionalstrategies；Enteralnu