Clemente C, Barnes J, Shinebourne E, Stein A
Leopold Muller Centre, Department of Paediatrics and Child Health, Royal Free and University College Medical School, University College London, UK.
Child Care Health Dev. 2001 Jan;27(1):47-59. doi: 10.1046/j.1365-2214.2001.00199.x.
To compare the feeding patterns and difficulties of infants with congenital heart disease (CHD) and healthy controls. Information was gathered via parental questionnaires.
A matched case controlled study of 64 infants with CHD compared with 64 healthy controls.
The main findings were: (1) Feeding patterns: mothers with infants with CHD used bottle-feeding as a first method of feeding their babies more often (CHD, 20%, controls, 2%); (2) Specific feeding difficulties: (a) infants with CHD were significantly more breathless when feeding (CHD = 16%, controls, 0%), (b) had more vomiting at mealtimes (CHD = 23%, controls = 11%), but (c) had significantly less spitting (CHD = 19%, controls, 41%); and (3) infants with CHD showed significantly reduced growth.
The feeding difficulties are related to the organic condition and not specific difficulties in mother-infant interaction. Professional support may be required for mothers of infants with CHD to maintain feeding routines and to deal with the difficulties that arise.
比较先天性心脏病（CHD）患儿与健康对照婴儿的喂养模式及喂养困难情况。通过家长问卷收集信息。
一项配对病例对照研究，64例先天性心脏病患儿与64例健康对照婴儿。
主要发现如下：（1）喂养模式：先天性心脏病患儿的母亲更常将奶瓶喂养作为喂养婴儿的首选方法（先天性心脏病组为20%，对照组为2%）；（2）特定喂养困难：（a）先天性心脏病患儿在喂养时明显更易气喘（先天性心脏病组为16%，对照组为0%），（b）进餐时呕吐更多（先天性心脏病组为23%，对照组为11%），但（c）吐奶明显更少（先天性心脏病组为19%，对照组为41%）；（3）先天性心脏病患儿生长明显减缓。
喂养困难与器质性状况有关，而非母婴互动中的特定困难。先天性心脏病患儿的母亲可能需要专业支持以维持喂养常规并应对出现的困难。
