不同蛋白质摄入量对早产儿生长发育影响比较.docVIP

不同蛋白质摄入量对早产儿生长发育的影响比较 　　[摘要] 目的 探?早期喂养不同剂量蛋白质对早产儿生长发育的影响。 方法 采用回顾性调查的方法，收集浙江大学丽水医院2014年2月～2016年5月120例住院早产儿的资料，分析早期不同蛋白质摄入营养治疗对早产儿生长发育的影响。将蛋白质平均摄入量3.3 g/（kg?d）为高蛋白质组（H组），将蛋白质平均摄入量≤3.3 g/（kg?d）为低蛋白质组（L组）。记录并比较两组间早产儿在纠正胎龄满40周（T1）、1个月（T2）、3个月（T3）、6个月（T4）、12个月（T5）时体重、身长、头围变化，最后行统计分析。 结果 两组早产儿在性别、胎龄、出生方式、出生头围、体重、身长及出生5 min Apgar评分比较差异无统计学意义（P0.05）。经喂养后H组在T1、T2、T3、T4的体重、身长、头围增长均高于L组，差异具有统计学意义（P0.05），但T5时H组早产儿体重与身长变化显著高于L组，差异有统计学意义（P3.3 g/（kg?d）的高蛋白质喂养，能提高出生后早产儿喂养效果，促进体格发育，利于早产儿的生长。 　　[关键词] 蛋白质；早期营养；早产儿；生长发育 　　[中图分类号] R722.6 [文献标识码] B [文章编号] 1673-9701（2017）26-0055-03 　　Comparison of the effects of different protein intake on growth and development of premature infants 　　CHEN Xiaoyan GAO Lijuan WANG Shangli MAO Xiaoyuan XIANG Chongwu LAN Juhong 　　Department of Rehabilitation Medicine， Lishui Hospital of Zhejiang University， Lishui 323000， China 　　[Astract] Objective To explore the effects of early feeding of different doses of protein on the growth and development of premature infants. Methods A retrospective survey was conducted to collect the data of 120 preterm infants in Lishui Hospital of Zhejiang University from February 2014 to May 2016. The effects of different protein intake nutrition treatments on the growth and development of premature infants were analyzed. The average protein intake 3.3 g/（kg?d） was included in the high protein group（group H）， and the average protein intake≤3.3 g/（kg?d） was included in the low protein group（group L）. The body weight， length and head circumference change at 40 weeks（T1）， 1 month（T2）， 3 months（T3）， 6 months（T4）， 12 months（T5） of gestational age between the two groups of premature infants were compared. The data were statistically analyzed finally. Results There were no significant differences in gender， gestational age， birth pattern， birth head circumference， body weight， body length and Apgar score at 5 min after birth between the two groups of premature infants（P0.05）. The increase of body weight， body length and head c