如何喂养小于胎龄儿。
How to feed small for gestational age newborns.
机构信息
Division of Neonatology, Department of Pediatrics, Catholic University Sacred Heart, Largo A, Gemelli 8, Rome 00168, Italy.
出版信息
Ital J Pediatr. 2013 May 10;39:28. doi: 10.1186/1824-7288-39-28.
Abstract
Feeding small for gestational age (SGA) newborns is extremely challenging and the neonatologist should be brave and cautious at the same time. Although these babies have a high risk of milk intolerance and necrotising enterocolitis, enteral feeding guidelines are not well established and practice varies widely among different neonatal units. Currently available studies on this topic include extremely and very low birth weight neonates, but are not focused specifically on small for gestational age infants. This review analyzes papers focused on feeding interventions in order to provide the best available evidences about the optimum timing for introduction of enteral feeding, how fast feed volume can be advanced, which milk and which feeding method is more appropriate in SGA infants.
摘要
喂养小于胎龄儿（SGA）新生儿极具挑战性，新生儿科医生需要勇敢且谨慎。尽管这些婴儿有很高的牛奶不耐受和坏死性小肠结肠炎风险，但肠内喂养指南尚未完善，不同新生儿病房的实践差异很大。目前关于这个主题的研究包括极低和超低出生体重儿，但并非专门针对小于胎龄儿。本综述分析了关注喂养干预的论文，旨在提供关于最佳肠内喂养开始时间、喂养速度、哪种奶和哪种喂养方法更适合 SGA 婴儿的最佳可用证据。
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