摘要
目的探讨早产儿出院后配方奶对有营养不良高危因素的早产儿出院后喂养的效果。方法对采用3种不同方式喂养达10个月的215例早产儿的临床资料进行回顾性分析。根据喂养奶粉的不同分为3组:A组早产奶喂养53例;B组早产儿出院后配方奶喂养112例;C组婴儿配方奶喂养50例。选择2005年九省市中国儿童生长标准,以体质量作为评判标准,生长指标≤P10(生长曲线第10百分位)为生长发育迟缓;体质量超过同年龄、同性别、同身高参照人群均值的20%以上为肥胖症。结果 3组早产儿出院时宫外发育迟缓(EUGR)的发生率分别为64.15%、62.50%及62.00%,差异无统计学意义(χ2=0.06,P=0.97),出院时均未见肥胖症病例。喂养5个月时EUGR发生率分别为20.75%、32.14%及48.00%,3组间比较差异有统计学意义(χ2=8.71,P=0.01),其中A组与B组、B组与C组比较差异均无统计学意义(P=0.14,0.08),A组与C组比较差异有统计学意义(P=0.00);喂养5个月时肥胖症发生率分别为1.89%、0和0,3组间比较差异无统计学意义(χ2=3.07,P=0.22)。喂养10个月时EUGR发生率分别为7.55%、7.14%及40.00%,3组间比较差异有统计学意义(χ2=32.45,P=0.00),其中A组与B组比较差异无统计学意义(P=1.00),A组与C组、B组与C组比较差异均有统计学意义(Pa=0.00);肥胖症发生率分别为18.87%、1.79%和0,3组间比较差异有统计学意义(χ2=22.20,P=0.00),其中B组与C组比较差异无统计学意义(P=1.00),A组与B组、A组与C组比较差异均有统计学意义(Pa=0.00)。结论出院后配方奶对有营养不良高危因素的早产儿出院后喂养的效果较好,在喂养10个月时大部分不仅能实现追赶性生长,而且能避免营养过剩。
Objective To investigate the effect of post - discharge formula feeding in premature infants with malnutrition high risk factors after discharge. Methods The clinical data of 215 premature infants voluntarily agreed by their supervisors were retrospectively analyzed. They were matched with inclusion criteria and were fed in 3 different ways for 10 months. They were divided into 3 groups（ group A, group B and group C） according to the methods of milk feeding. In group A,53 cases were fed with premature formula;In group B, 112 cases were fed with post- discharge formula;In group C ,50 cases were fed with baby formula. Based on Chinese children grow standard of 9 provinces and municipalities in 2005, growth index of weight less than 10 percents in growth curve was regarded as extra - uterine growth retardation （EUGR）. Children with body mass more than 20% of the mean value of the same age, as well as gender and height, were regarded as obesity. Results When they left hospital, the incidence of EUGR in the 3 groups was 64.15 % ,62.50% and 62.00%, respectively, and there was no significant difference among 3 groups （X^2 = 0.06, P= 0.97 ） ; no obesity case was found. After they were fed for 5 months, the incidence of EU- GR was 20.75 % ,32.14% and 48.00% , respectively, and there was statistical difference among 3 groups （X^2= 8.71 ,P = 0.01 ） ;there was no statistical difference between group A and group B ,and between group B and group C（ P = 0.14,0.08 ） ;yet between A and group C there was statistical difference（P = 0.00 ）. The incidence of obesity after being fed for 5 months was 1. 89%, 0 and 0, respectively, and the findings showed no statistical difference（X^2 = 3.07 ,P = 0.22）. After they were fed for 10 months, the incidence of EUGR was 7.55% ,7.14% and 40. 00% , respectively, and there was significant difference （X^2 = 32.45, P = 0.00 ） , but between group A and group B, there was no significant difference （P = 1.00） ;yet between group A and group C, and between group B and group C, there were significant differences （Pa = 0.00 ）. The incidence of obesity after being fed for 10 months was 18.87% , 1.79% and 0.00% ,respectively, and there was statistical difference among 3 groups（X^2 = 22.20, P = 0.00） ; there was no difference between group B and group C （ P = 1.00 ）, however, there were significant differences between group A and group B, and between group A and group C （ Pa = 0.00）. Conclusions Formula feeding is better for premature infants with malnutrition risk factors after discharge than premature formula and baby formula. Most of them can realize pursued growth and avoid the nutrition surplus after being fed for 10 months.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2012年第7期495-497,共3页
Journal of Applied Clinical Pediatrics
基金
江门市科技局立项课题(201003)
关键词
宫外发育迟缓
出院后配方奶
喂养
婴儿
早产
extra - uterine growth retardation
post - discharge formula
feeding
preterm infant
