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无创通气的早产儿营养支持方法:最新进展

Nutritional approach to preterm infants on noninvasive ventilation: An update.

作者信息

Bozzetti Valentina, De Angelis Chiara, Tagliabue Paolo E

机构信息

Neonatal Intensive Care Unit, MBBM Foundation, San Gerardo Hospital, Monza, Italy.

Neonatal Intensive Care Unit, MBBM Foundation, San Gerardo Hospital, Monza, Italy.

出版信息

Nutrition. 2017 May;37:14-17. doi: 10.1016/j.nut.2016.12.010. Epub 2016 Dec 27.

Abstract

Nutrition and pulmonary function in very-low-birth-weight infants (VLBWIs) are strictly related. Preterm infants on noninvasive ventilation may have respiratory instability that can interfere with feeding tolerance. Moreover, feeding may impair pulmonary function. These infants have nutritional requirements different from nonventilated infants. The main challenge of the nutritional support in such patients is to guarantee adequate caloric intake while avoiding episodes of feeding intolerance. The aim of this study was to review the issues and strategies of enteral feeding of preterm infants on noninvasive ventilation.

摘要

极低出生体重儿(VLBWIs)的营养与肺功能密切相关。接受无创通气的早产儿可能存在呼吸不稳定的情况,这会影响喂养耐受性。此外,喂养可能会损害肺功能。这些婴儿的营养需求与未通气的婴儿不同。对此类患者进行营养支持的主要挑战是保证足够的热量摄入,同时避免出现喂养不耐受的情况。本研究的目的是回顾接受无创通气的早产儿肠内喂养的相关问题及策略。

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