Marrocco G, Romagnoli C, Zuppa A A, Luciano R, De Carolis M P, Zecca E, Tortorolo G
Divisione di Neonatologia, Università Cattolica S. Cuore, Roma, Italia.
Pediatr Med Chir. 1990 Sep-Oct;12(5):477-82.
The aim of this study is to investigate if nasogastric feeding may provide an adequate caloric intake and a good growth in preterm infants. One hundred and thirty-one newborns with gestational age less than or equal to 33 weeks, admitted to the Neonatal Unit of the Catholic University of Rome over a period of three years, were included in the study. Infants were divided according to birth weight in four groups: the first includes 22 neonates weighing less than or equal to 1000 g; the second 60 newborns with birth weight of 1001-1500 g; the third includes 36 prematures weighing 1501-2000 g; the fourth group 19 neonates with birth weight greater than 2000 grams. Body weight was measured daily and head circumference weekly for all the study period (60-90 days). Mean postnatal weight loss was greater in the lowest birth weight group (13.2% of the birth weight) as compared to the other three groups (8%-9%). Birth weight was regained at 18th day of age in the newborns of the first group and in the second week of age in the other three groups. A caloric intake greater than 100 Kcal/Kg/day was achieved in the second week, ranging between the 8th day (forth group) and 14th day (first group). The achievement of full enteral feeding was inversely related to the birth weight.(ABSTRACT TRUNCATED AT 250 WORDS)
本研究的目的是调查鼻胃管喂养是否能为早产儿提供足够的热量摄入并助其良好生长。在三年时间里,罗马天主教大学新生儿科收治的131例胎龄小于或等于33周的新生儿被纳入研究。婴儿根据出生体重分为四组:第一组包括22例体重小于或等于1000克的新生儿;第二组60例出生体重为1001 - 1500克的新生儿;第三组包括36例体重为1501 - 2000克的早产儿;第四组19例出生体重超过2000克的新生儿。在整个研究期间(60 - 90天),每天测量体重,每周测量头围。最低出生体重组的平均出生后体重减轻幅度(占出生体重的13.2%)大于其他三组(8% - 9%)。第一组新生儿在出生后第18天恢复出生体重,其他三组在出生后第二周恢复。在第二周实现了大于100千卡/千克/天的热量摄入,时间范围在第8天(第四组)至第14天(第一组)之间。完全经口喂养的实现与出生体重呈负相关。(摘要截选至250字)