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使用母乳强化剂改善非限制性室间隔缺损婴儿术前营养状况。

Using Human Milk Fortifiers to Improve the Preoperative Nutritional Status of Infants With Non-restricted Ventricular Septal Defect.

作者信息

Lin Yun-Feng, Lin Wen-Hao, Lin Shi-Hao, Zhang Qi-Liang, Chen Qiang, Zheng Yi-Rong

机构信息

Department of Neonatology, Fujian Branch of Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Fuzhou, China.

Department of Neonatology, Fujian Children's Hospital, Fuzhou, China.

出版信息

Front Pediatr. 2022 Jun 27;10:900012. doi: 10.3389/fped.2022.900012. eCollection 2022.

Abstract

OBJECTIVE

To explore the effects of human milk fortifier (HMF) on improving the preoperative nutritional status of infants with non-restricted ventricular septal defect (VSD).

METHODS

A prospective randomized controlled study was conducted in a provincial hospital in China. Participants were randomly divided into an intervention group ( = 29) and a control group ( = 29). HMFs were added proportionally to the infants' feeds in the intervention group based on breastfeeding status, and the infants in the control group received exclusive breastfeeding as needed. The nutritional status of the two groups was compared 1 month after the intervention.

RESULTS

Compared with the control group, the weight, head circumference, height, albumin level, and prealbumin level of the human milk fortifier group were significantly higher 1 month after the intervention ( < 0.05). The STRONGkids score of the HMF group was significantly lower than that of the non-HMF group ( < 0.05). There was no significant difference in pneumonia, liver insufficiency, feeding intolerance, or jaundice between the two groups.

CONCLUSION

The addition of HMFs based on the breastfeeding status of infants with non-restricted VSD can improve the preoperative nutritional status and does not increase the incidence of gastrointestinal complications.

CLINICAL TRIAL REGISTRATION

http://www.chictr.org.cn/index.aspx, identifier: ChiCTR2000041135.

摘要

目的

探讨人乳强化剂(HMF)对改善非限制性室间隔缺损(VSD)婴儿术前营养状况的影响。

方法

在中国一家省级医院进行了一项前瞻性随机对照研究。参与者被随机分为干预组(n = 29)和对照组(n = 29)。干预组根据母乳喂养情况按比例在婴儿喂养中添加人乳强化剂,对照组婴儿按需进行纯母乳喂养。干预1个月后比较两组的营养状况。

结果

与对照组相比,干预1个月后人乳强化剂组的体重、头围、身高、白蛋白水平和前白蛋白水平显著更高(P < 0.05)。人乳强化剂组的STRONGkids评分显著低于非人乳强化剂组(P < 0.05)。两组在肺炎、肝功能不全、喂养不耐受或黄疸方面无显著差异。

结论

根据非限制性室间隔缺损婴儿的母乳喂养情况添加人乳强化剂可改善术前营养状况,且不增加胃肠道并发症的发生率。

临床试验注册

http://www.chictr.org.cn/index.aspx,标识符:ChiCTR2000041135。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9baf/9271765/32ad2ea653ee/fped-10-900012-g0001.jpg

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