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一种新型抗反流配方的疗效与耐受性

Efficacy and Tolerance of a New Anti-Regurgitation Formula.

作者信息

Dupont Christophe, Vandenplas Yvan

机构信息

Department of Paediatric Gastroenterology Hepatology and Nutrition, Hôpital Necker Enfants Malades, Paris, France.

Department of Paediatrics, UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium.

出版信息

Pediatr Gastroenterol Hepatol Nutr. 2016 Jun;19(2):104-9. doi: 10.5223/pghn.2016.19.2.104. Epub 2016 Jun 28.

Abstract

PURPOSE

Regurgitation is a common physiological phenomenon in infants. The aim of the present study was to evaluate the efficacy of a new anti-regurgitation (AR) formula (Novalac), thickened with an innovative complex including fibres, on the daily number of regurgitations and to assess its impact on stool consistency and frequency.

METHODS

Infants younger than five months, presenting at least 5 regurgitations per day were recruited in this trial. The efficacy of the new formula on regurgitation (daily number and Vandenplas score), stool frequency and consistency were assessed at day 14 and 90. Growth data were recorded at each study visit.

RESULTS

Ninety babies (mean age 9.6±5.8 weeks) were included in the full analysis data set. The mean number of regurgitation episodes at inclusion was 7.3±3.4. In all infants, regurgitations improved after 2 weeks. The daily number of regurgitations decreased significantly (-6.3±3.3, p<0.001) including in those previously fed a thickened formula (-6.2±3.0, p<0.001). There was no significant change in stool consistency at day 14. After 3 months, 97.5% of infants had formed or soft stools. Growth was appropriate with a slight increase of weight-for-age z-score (from -0.5±1.0 to -0.1±0.9) and no change of weight-for length z-score (-0.1±1.1 to -0.1±-1.1).

CONCLUSION

The new AR formula thickened with an innovative complex is very effective in reducing the daily number of regurgitations without having a negative impact on stools consistency.

摘要

目的

反流是婴儿常见的生理现象。本研究旨在评估一种新型抗反流(AR)配方奶粉(诺优能)的效果,该配方奶粉添加了一种包含纤维的创新复合物,可增稠,观察其对每日反流次数的影响,并评估其对粪便稠度和频率的影响。

方法

招募5个月以下、每天至少反流5次的婴儿参与本试验。在第14天和第90天评估新配方奶粉对反流(每日次数和范登普拉斯评分)、粪便频率和稠度的效果。每次研究访视时记录生长数据。

结果

90名婴儿(平均年龄9.6±5.8周)纳入全分析数据集。纳入时反流发作的平均次数为7.3±3.4次。所有婴儿在2周后反流情况均有改善。每日反流次数显著减少(-6.3±3.3,p<0.001),包括之前喂养增稠配方奶粉的婴儿(-6.2±3.0,p<0.001)。第14天时粪便稠度无显著变化。3个月后,97.5%的婴儿粪便成形或变软。生长情况良好,年龄别体重z评分略有增加(从-0.5±1.0增至-0.1±0.9),身长别体重z评分无变化(-0.1±1.1至-0.1±-1.1)。

结论

添加创新复合物增稠的新型抗反流配方奶粉在减少每日反流次数方面非常有效,且对粪便稠度无负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ab/4942307/4297eadb6486/pghn-19-104-g001.jpg

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