低出生体重早产儿出院后追赶性生长随访观察及分析.docVIP

低出生体重早产儿出院后追赶性生长的随访观察及分析 　　【摘要】 目的：探究强化母乳喂养对低出生体重早产儿出院后追赶性生长的随访观察。方法：在本院收治的低出生体重早产儿中随机抽取出60例作为本次研究的对象，随机分为治疗组和对照组，每组各30例。对照组单纯采用纯母乳喂养，治疗组则给予母乳+母乳强化剂喂养，对比分析两组患儿矫正胎龄后1岁时的贝利婴幼儿发展量表神经行为差别、生长参数等指标。结果：1岁时，治疗组患儿的头围、身高、体重、PDI和MDI指数均明显高于对照组，两组比较差异均有统计学意义（P0.05）。结论：对低出生体重早产儿出院后采用强化母乳喂养有助于促进患儿的追赶性生长，促进患儿的运动、智力发育，值得应用。 　　【关键词】 低出生体重早产儿； 追赶性生长； 强化母乳喂养； PDI； MDI； 生长参数 　　【Abstract】 Objective：To explore the improved breastfeeding for low birth weight premature infants and catch-up growth of follow-up after discharge.Method：60 cases of low birth weight premature infants with low birth weight were selected as the subjects of this study，they were randomly divided into treatment group and control group，30 cases in each group.The control group was given only with pure breastfeeding，the treatment group was given breast milk+breastfeeding enhancer feeding，the differences of the neurobehavioral and growth parameters between the two groups were compared after correction of gestational age at 1 year.Result：At the age of 1 year，the children head circumference，height，body weight PDI and MDI index indexes of treatment group were significantly greater than the control group，the differences were statistically significant （P0.05）.Conclusion：The use of enhanced breast feeding after discharge in low birth weight premature infants is helpful to promote the catch-up growth of children and promote the development of childrens sports and intelligence. 　　【Key words】 Low birth weight premature infant； Catch-up growth； Enhanced breast feeding； PDI；MDI； Growth parameters 　　First-author’s address：Tangxia Hospital of Dongguan，Dongguan 523710，China 　　doi：10.3969/j.issn.1674-4985.2016.34.014 　　早产儿是一个较为特殊的群体，我国每年大约有150万的早产儿，其占到全球早产儿的10%左右，关注早产儿的健康成长已成为一项医学问题和社会问题[1-2]。低出生体重早产儿在出生后立即被转入到NICU治疗，早期进行母婴分离[3]，这使得早产儿出院后的母乳喂养存在较多问题，而母乳作为婴儿最佳的营养来源，对于促进婴儿健康成长发育具有积极意义[4]，但是对于低出生体重早产儿而言，母乳依然无法满足患儿对蛋白质、营养素等的需求，这就使得早产儿的生长速度较慢[5-6]。而近些年来不少研究指出，低出生体重早产儿在出院后一段时间内强化母乳喂养能使得患儿摄取更多蛋白质、营养物质，促进患儿的成长，而且强化母乳喂养并不会对正常的母乳喂养产生影响[7]