摘要
早产儿出生早期营养供给不足是支气管肺发育不良(BPD)发生的重要影响因素,并与其发生发展和最终临床结局密切相关。优化营养支持对降低BPD发生率和严重程度,促进患儿肺发育和神经系统预后至关重要。现基于国内外相关研究,采用证据推荐分级的评价方法(GRADE),制定BPD营养管理专家共识,从营养在BPD中的重要性、液体量、能量、肠内营养、肠外营养、出院后营养、营养监测和评估等7个方面进行阐述,旨在为临床医师提供BPD高危儿和确诊患儿的营养管理建议,以期减少BPD的发生及改善BPD患儿的近远期预后。
Inadequate nutrition supply in the early stage after birth is a risk factor for the development of bronchopulmonary dysplasia(BPD)in preterm infants,and it is also closely associated with the progression and clinical outcome of BPD.Optimized nutritional support is of great importance to reduce the incidence and severity of BPD and promote lung development and neurological prognosis.Based on the relevant studies in China and overseas,the expert consensus on BPD nutrition management is developed by the Grading of Recommendations Assessment,Development and Evaluation(GRADE)method.The consensus includes the following seven aspects:the importance of nutrition in BPD,fluid intake,energy intake,enteral nutrition,parenteral nutrition,post-discharge nutrition,and nutrition monitoring and evaluation.
作者
张蓉
林新祝
常艳美
刘喜红
童笑梅
丁国芳
无
ZHANG Rong;LIN Xin-Zhu;CHANG Yan-Mei;LIU Xi-Hong;TONG Xiao-Mei;DING Guo-Fang;无(Department of Neonatology,Children's Hospital of Fudan University,Shanghai 201102,China;Department of Neonatology,Women and Children's Hospital,School of Medicine,Xiamen University,Xiamen,Fujian 361003,China;Department of Pediatrics,Third Hospital,Peking University,Beijing 100191,China;Department of Clinical Nutrition,Guangzhou Women&Children's Medical Center,Guangzhou 510623,China;Department of Pediatrics,Chinese Academy of Medical Science Peking Union Medical College Hospital,Beijing100730,China;Nutritional Committee of Neonatology Branch of Chinese Medical Doctor Association;Editorial Committee of Chinese Journal of Contemporary Pediatrics)
出处
《中国当代儿科杂志》
CAS
CSCD
北大核心
2020年第8期805-814,共10页
Chinese Journal of Contemporary Pediatrics
关键词
支气管肺发育不良
肠内营养
肠外营养
专家共识
早产儿
Bronchopulmonary dysplasia
Enteral nutrition
Parenteral nutrition
Expert consensus
Preterm infant
