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母乳中添加人乳强化剂对先天性心脏病手术后婴儿早期恢复的影响。

Effect of the Addition of Human Milk Fortifier to Breast Milk on the Early Recovery of Infants After Congenital Cardiac Surgery.

作者信息

Yu Xian-Rong, Xie Wen-Peng, Liu Jian-Feng, Wang Li-Wen, Cao Hua, Chen Qiang

机构信息

Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China.

Fujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China.

出版信息

Front Pediatr. 2021 Apr 27;9:661927. doi: 10.3389/fped.2021.661927. eCollection 2021.

Abstract

This article studied the effect of breast milk supplemented with human milk fortifier (HMF) on the early recovery of infants after congenital cardiac surgery. Infants undergoing congenital cardiac surgery were randomly divided into an intervention group ( = 27) and a control group ( = 27). Infants in the intervention group received HMF, and those in the control group were exclusively breastfed. The nutritional indicators at discharge, the postoperative recovery status, and nutritional-related complications were recorded. Compared with the control group at the time of discharge, the weight and albumin and prealbumin levels of the intervention group were significantly increased ( < 0.05). The length of hospital stay of the intervention group was significantly reduced compared with that of the control group ( < 0.05). Although the length of ICU stay for the intervention group was shorter than that of the control group, the difference was not significant ( > 0.05). No significant difference in the incidence of postoperative nutrition-related complications was noted between the two groups ( > 0.05). Compared with breastfeeding alone, with HMF can improve postoperative weight gains, reduce the length of stay, and promote infants' early recovery after congenital cardiac surgery.

摘要

本文研究了添加人乳强化剂(HMF)的母乳对先天性心脏病手术后婴儿早期恢复的影响。接受先天性心脏病手术的婴儿被随机分为干预组(n = 27)和对照组(n = 27)。干预组婴儿接受HMF,对照组婴儿则纯母乳喂养。记录出院时的营养指标、术后恢复状况以及营养相关并发症。与出院时的对照组相比,干预组的体重、白蛋白和前白蛋白水平显著升高(P < 0.05)。干预组的住院时间较对照组显著缩短(P < 0.05)。虽然干预组的重症监护病房(ICU)住院时间比对照组短,但差异不显著(P > 0.05)。两组术后营养相关并发症的发生率无显著差异(P > 0.05)。与单纯母乳喂养相比,添加HMF可改善先天性心脏病手术后婴儿的术后体重增加、缩短住院时间并促进早期恢复。

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