Chen C, Email:
Zhongguo Dang Dai Er Ke Za Zhi. 2024 Jul 15;26(7):665-676. doi: 10.7499/j.issn.1008-8830.2402040.
Establishing enteral nutrition after the birth of preterm infants presents numerous challenges, particularly for those in special situations. Various disease factors and medical interventions impede the establishment of enteral feeding, leading to conflicts and controversies regarding feeding goals, feeding methods, and the challenges and solutions faced by these infants. A critical issue for clinical physicians is how to safely and promptly establish enteral nutrition to achieve full enteral feeding as quickly as possible. The consensus formulation working group, based on both domestic and overseas research, adopted the Grading of Recommendations Assessment, Development and Evaluation, and formed an expert consensus on enteral nutrition management for preterm infants in special situations. This consensus provides 14 recommendations for 9 common special situations, aiming to offer guidance on enteral nutrition management for preterm infants to improve their short and long-term outcomes. .
早产儿出生后建立肠内营养面临诸多挑战，尤其是对于处于特殊情况的早产儿。各种疾病因素和医疗干预措施阻碍了肠内喂养的建立，导致在喂养目标、喂养方法以及这些婴儿所面临的挑战和解决方案方面存在冲突和争议。临床医生面临的一个关键问题是如何安全、迅速地建立肠内营养，以尽快实现完全肠内喂养。共识制定工作组基于国内外研究，采用推荐分级评估、制定和评价方法，就特殊情况的早产儿肠内营养管理形成了专家共识。该共识针对9种常见特殊情况提出了14条建议，旨在为早产儿肠内营养管理提供指导，以改善其短期和长期预后。
