不同喂养方式在极低出生体重儿出院后追赶性生长中的效果

Effect of Different Feeding Patterns on the Rapid Growth of Extremely-low-birth-weight Infants After Discharge

目的比较不同喂养方式在极低出生体重儿出院后追赶性生长中的效果。方法选择河北大学附属医院2007年1月-2010年12月的67例极低出生体重儿作为研究对象,出院后跟踪随访至生后12个月,早产儿配方奶粉喂养组26例,混合喂养组22例,母乳喂养组19例,比较三组出院后追赶性生长情况。结果生后3个月时早产儿配方奶喂养组的体重、身长高于其他两组,但组间差异无统计学意义(P>0.05)。生后12个月时早产儿配方奶喂养组的体重、身长均高于母乳喂养组和混合喂养组,组间差异有统计学意义(P<0.05)。结论极低出生体重儿出院后早产儿配方奶粉喂养有利于其追赶性生长,母乳喂养者需加用母乳强化剂。

Objective To compare the application effect of different feeding patterns on the rapid growth of very low birth weight infants after discharge. Methods Sixty - seven very low birth weight infants were selected as research objects from the Affiliated Hospital of Hebei University from January 2007 to December 2010. All infants were followed - up from birth to 12 months of age. They were divided into premature infant formula milk powder feeding group （n= 26）, mixed feeding group（n= 22）, and hreastmilk feeding group （n= 19）. And the data of rapid growth of three groups were compared and analyzed. Results Three months after birth, the weight and the length of premature infants in formula milk powder feeding group were both higher than those of mixed feeding group and breastmilk feeding group, but no statistically significant difference was found among the three groups （P 〉0.05）. 12 months after birth, the weight and the length of premature infants in formula milk powder feeding group were both higher than those of the other two groups, and the differences were statistically significant among the three groups （P〈 0.05）. Conclusions Premature infant formula milk powder feeding is beneficial to the rapid growth of very low birth weight infants after discharge; moreover, the infants with breastmilk feeding need to add human milk fortifier.