Department of Surgical and Medical Critical Care, Neonatology Section, Careggi University Hospital of Florence, Viale Morgagni, 85, 50134 Florence, Italy.
Early Hum Dev. 2013 Oct;89 Suppl 2:S11-2. doi: 10.1016/j.earlhumdev.2013.07.007. Epub 2013 Jul 23.
We aimed to assess the current knowledge on continuous versus intermittent bolus feeding in preterm infants. We found that existing evidence does not support the firm recommendation of one strategy among the many alternatives. However, although many areas remain to be investigated, it is probable that continuous feeding might be advantageous compared to intermittent feeding in favoring the faster establishment of full enteral feeding, and decreasing the risk of hypoxic-ischemic gut damage in preterm neonates in critical condition, especially SGA infants, by limiting their gastrointestinal oxygen requirement.
我们旨在评估目前关于早产儿连续与间断推注喂养的知识。我们发现,现有证据不支持在众多替代方案中坚定推荐一种策略。然而,尽管仍有许多领域有待研究,但连续喂养可能比间断喂养更有优势,有助于更快地建立完全肠内喂养,通过限制早产儿的胃肠道氧需求,降低危重新生儿特别是 SGA 婴儿缺氧缺血性肠道损伤的风险。