Bhatia J, Rassin D K
Department of Pediatrics, University of Texas Medical Branch, Galveston 77550.
Am J Dis Child. 1988 Apr;142(4):445-7. doi: 10.1001/archpedi.1988.02150040099028.
Human milk when fed to preterm infants is frequently supplemented with human milk fortifiers that provide an additional source of protein, energy, and minerals. Human milk that was provided by the mother of a preterm infant, and that was supplemented with commercially available human milk fortifiers, was assessed under simulated syringe-pump and bolus feeding circumstances for the delivery of energy, calcium, phosphorus, copper, magnesium, and zinc to an infant. In general, the nutrients were not completely delivered with syringe-pump feedings, with the greatest losses occurring in the concentrations of calcium and phosphorus. The losses were more pronounced with the use of a powdered fortifier than with the use of a liquid fortifier. Little or no change in the concentrations of the various nutrients were observed with simulated bolus feeding. We suggest that human milk fortified with supplements be fed with care to assure complete delivery of the nutrients and that infants receiving such feedings be monitored to assure adequate nutritional status.
给早产儿喂食母乳时，通常会添加母乳强化剂，以提供额外的蛋白质、能量和矿物质来源。对一名早产儿母亲提供的、添加了市售母乳强化剂的母乳，在模拟注射器泵喂养和推注喂养情况下，评估其向婴儿输送能量、钙、磷、铜、镁和锌的情况。一般来说，注射器泵喂养时营养成分并未完全输送，钙和磷浓度的损失最大。与使用液体强化剂相比，使用粉末状强化剂时损失更明显。模拟推注喂养时，各种营养成分的浓度几乎没有变化。我们建议，谨慎喂养添加了补充剂的母乳，以确保营养成分完全输送，并对接受此类喂养的婴儿进行监测，以确保营养状况良好。
