Dorita M Z Dekker, Monique van Brakel, Chris H P van den Akker, Frans B Plötz
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引用次数: 0
摘要
中度早产儿和低出生体重儿的最佳初始肠内喂养(EF)在临床实践中存在争议。我们将96名婴儿分为3组(I: 1600-1799 g [n = 22];II: 1800-1999 g [n = 42];III: 2000-2200 g [n = 32])。该方案建议在婴儿称重时从最小EF (MEF)开始
Enteral Feeding for Moderately Premature and Low Birth Weight Infants: A Single-Center Retrospective Observational Cohort Study.
Controversy exists in clinical practice regarding optimal initial enteral feeding (EF) for moderately premature and low birth weight (BW) infants. We included 96 infants stratified into 3 groups (I: 1600-1799 g [n = 22]; II: 1800-1999 g [n = 42]; III: 2000-2200 g [n = 32]). The protocol recommended starting with minimal EF (MEF) in infants weighing <1800 g. On the first day of life, 5% of the infants in group I did not follow the protocol mandating MEF, but started with exclusive EF instead, compared to 36% and 44% of the infants in groups II and III, respectively. The median number of days until exclusive EF was achieved was 5 days longer for infants receiving MEF than for infants who had received normal portions of EF from birth onward. We observed no significant differences in feeding-related complications. We advocate omitting MEF in moderately premature infants with a BW of 1600 g or higher.
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