Eudowood Division of Pediatric Respiratory Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Pediatr Pulmonol. 2019 Mar;54(3):313-318. doi: 10.1002/ppul.24228. Epub 2019 Jan 4.
The objective of our study was to examine whether outpatient respiratory morbidities in infants with bronchopulmonary dysplasia (BPD) are influenced by the human milk consumption.
Caregivers of subjects recruited from a BPD clinic completed questionnaires regarding breast milk intake and respiratory outcomes.
One-hundred eighty-eight caregivers completed the questionnaire. Of these, 173 (92.0%) reported that the child received some breast milk. Infants who received breast milk for fewer months were more likely to be non-white, and have a lower household income, public insurance, and secondhand smoke exposure. A longer receipt of breast milk was associated with reduced likelihoods of emergency department visits, systemic steroid courses, and cough or chest congestion, and a trend towards a lower risk of re-hospitalizations.
Longer duration of breast milk intake was associated with markers of higher socio-economic status, and reduced likelihood of acute and chronic respiratory morbidities among preterm infants with bronchopulmonary dysplasia.
本研究旨在探讨支气管肺发育不良（BPD）婴儿门诊呼吸系统疾病是否受人乳摄入量的影响。
从 BPD 门诊招募的受试对象的照顾者完成了有关母乳摄入和呼吸结果的问卷。
188 位照顾者完成了问卷。其中，173 位（92.0%）报告说孩子接受了一些母乳。接受母乳时间较短的婴儿更有可能是非白人，家庭收入较低，有公共保险和二手烟暴露。较长时间的母乳喂养与急诊就诊、全身类固醇疗程、咳嗽或胸部充血的可能性降低以及再住院的风险降低有关。
BPD 早产儿接受母乳时间较长与更高的社会经济地位指标有关，且与急性和慢性呼吸系统疾病的可能性降低有关。
