Dekker Dorita M Z, van Brakel Monique, van den Akker Chris H P, Plötz Frans B
From the Tergooi MC, Department of Pediatrics, Blaricum, The Netherlands.
Amsterdam UMC, location University of Amsterdam, Emma Children's Hospital, Department of Pediatrics-Neonatology, Amsterdam, The Netherlands.
JPGN Rep. 2023 Feb 28;4(2):e288. doi: 10.1097/PG9.0000000000000288. eCollection 2023 May.
Controversy exists in clinical practice regarding optimal initial enteral feeding (EF) for moderately premature and low birth weight (BW) infants. We included 96 infants stratified into 3 groups (I: 1600-1799 g [n = 22]; II: 1800-1999 g [n = 42]; III: 2000-2200 g [n = 32]). The protocol recommended starting with minimal EF (MEF) in infants weighing <1800 g. On the first day of life, 5% of the infants in group I did not follow the protocol mandating MEF, but started with exclusive EF instead, compared to 36% and 44% of the infants in groups II and III, respectively. The median number of days until exclusive EF was achieved was 5 days longer for infants receiving MEF than for infants who had received normal portions of EF from birth onward. We observed no significant differences in feeding-related complications. We advocate omitting MEF in moderately premature infants with a BW of 1600 g or higher.
对于中度早产和低出生体重婴儿的最佳初始肠内喂养（EF），临床实践中存在争议。我们纳入了96名婴儿，分为3组（I组：1600 - 1799克[n = 22]；II组：1800 - 1999克[n = 42]；III组：2000 - 2200克[n = 32]）。该方案建议体重<1800克的婴儿从最小肠内喂养量（MEF）开始。在出生第一天，I组5%的婴儿未遵循采用MEF的方案，而是从全量肠内喂养开始，相比之下，II组和III组分别有36%和44%的婴儿如此。实现全量肠内喂养的天数中位数，接受MEF的婴儿比从出生就接受正常量肠内喂养的婴儿长5天。我们观察到喂养相关并发症无显著差异。我们主张对于出生体重1600克及以上的中度早产婴儿省略MEF。
