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早产儿母乳强化策略:一项系统评价

Strategies for the Fortification of Human Milk in Preterm Infants: A Systematic Review.

作者信息

Contreras Chova Francisco, Villanueva-García Andrea, González-Boyero J L, Campos-Martínez Ana M, Blanca-Jover Enrique, Jerez-Calero Antonio E, Uberos-Fernández José

机构信息

Pediatrics and Neonatology, Hospital Universitario San Cecilio, Granada, ESP.

出版信息

Cureus. 2024 Nov 10;16(11):e73380. doi: 10.7759/cureus.73380. eCollection 2024 Nov.

DOI:10.7759/cureus.73380
PMID:39659332
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11630059/
Abstract

Breast milk is the best source of nourishment for both full-term and preterm newborns. However, in preterm newborns, exclusive breastfeeding can lead to nutritional deficiencies, with short- and long-term consequences on growth and neurocognitive development. Breast milk fortification is a widely used strategy to provide an adequate nutritional profile to these patients. There is currently a great heterogeneity in terms of fortification patterns and the type of fortifier. The present systematic review summarizes the current scientific evidence to evaluate the different strategies for fortification of human milk in preterm infants, their possible differences on benefits, and the hypothetical impact on prematurity outcomes.

摘要

母乳是足月儿和早产儿最佳的营养来源。然而,对于早产儿来说,纯母乳喂养可能会导致营养缺乏,对生长和神经认知发育产生短期和长期影响。母乳强化是一种广泛应用的策略,可为这些患儿提供充足的营养。目前,在强化模式和强化剂类型方面存在很大的异质性。本系统评价总结了当前的科学证据,以评估早产儿母乳强化的不同策略、它们在益处方面可能存在的差异以及对早产结局的潜在影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/711e/11630059/b299e8b84b3a/cureus-0016-00000073380-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/711e/11630059/b299e8b84b3a/cureus-0016-00000073380-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/711e/11630059/b299e8b84b3a/cureus-0016-00000073380-i01.jpg

相似文献

1
Strategies for the Fortification of Human Milk in Preterm Infants: A Systematic Review.早产儿母乳强化策略:一项系统评价
Cureus. 2024 Nov 10;16(11):e73380. doi: 10.7759/cureus.73380. eCollection 2024 Nov.
2
Nutritional Management of Low Birth Weight and Preterm Infants in Low- and Low Middle-Income Countries.低收入和中低收入国家低出生体重儿和早产儿的营养管理
Neonatology. 2025;122(Suppl 1):209-223. doi: 10.1159/000542154. Epub 2024 Nov 26.
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Nutritional adequacy of a novel human milk fortifier from donkey milk in feeding preterm infants: study protocol of a randomized controlled clinical trial.驴乳来源新型人乳强化剂用于喂养早产儿的营养充足性:一项随机对照临床试验研究方案。
Nutr J. 2018 Jan 9;17(1):6. doi: 10.1186/s12937-017-0308-8.
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Cochrane Database Syst Rev. 2019 Nov 7;2019(11):CD013145. doi: 10.1002/14651858.CD013145.pub2.
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State of the evidence from clinical trials on human milk fortification for preterm infants.临床研究中强化人乳对早产儿的证据现状。
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Fortification of Human Milk for Preterm Infants: Update and Recommendations of the European Milk Bank Association (EMBA) Working Group on Human Milk Fortification.早产儿母乳强化:欧洲母乳库协会(EMBA)母乳强化工作组的最新情况及建议
Front Pediatr. 2019 Mar 22;7:76. doi: 10.3389/fped.2019.00076. eCollection 2019.

本文引用的文献

1
National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis.2020 年全球、区域和国家早产估计数及其 2010 年以来的变化趋势:系统分析。
Lancet. 2023 Oct 7;402(10409):1261-1271. doi: 10.1016/S0140-6736(23)00878-4.
2
Early Human Milk Fortification in Infants Born Extremely Preterm: A Randomized Trial.早产儿母乳喂养强化:一项随机试验。
Pediatrics. 2023 Sep 1;152(3). doi: 10.1542/peds.2023-061603.
3
Human Milk Fortification for Very Preterm Infants: Toward Optimal Nutrient Delivery, Neonatal Intensive Care Unit Growth, and Long-Term Outcomes.
人乳强化剂用于极早产儿:实现最佳营养输送、新生儿重症监护病房生长和长期结局。
Clin Perinatol. 2023 Sep;50(3):625-641. doi: 10.1016/j.clp.2023.04.001. Epub 2023 May 15.
4
The Effect of Oral Protein Supplementation on the Growth of Very Low Birth Weight Preterm Infants Admitted to the Neonatal Intensive Care Unit: A Randomized Clinical Trial.口服蛋白质补充对入住新生儿重症监护病房的极低出生体重早产儿生长的影响:一项随机临床试验。
J Mother Child. 2023 Jun 27;27(1):21-29. doi: 10.34763/jmotherandchild.20232701.d-22-00072. eCollection 2023 Jun 1.
5
Effect of an Exclusive Human Milk Diet on the Gut Microbiome in Preterm Infants: A Randomized Clinical Trial.专母乳喂养对早产儿肠道微生物组的影响:一项随机临床试验。
JAMA Netw Open. 2023 Mar 1;6(3):e231165. doi: 10.1001/jamanetworkopen.2023.1165.
6
Effect of Targeted vs. Standard Fortification of Breast Milk on Growth and Development of Preterm Infants (≤32 Weeks): Results from an Interrupted Randomized Controlled Trial.母乳靶向强化与标准强化对早产儿(≤32 周)生长发育的影响:一项中断随机对照试验的结果。
Nutrients. 2023 Jan 25;15(3):619. doi: 10.3390/nu15030619.
7
Double-blinded randomized controlled trial of optimizing nutrition in preterm very low birth weight infants: Bayley scores at 18-38 months of age.优化早产儿极低出生体重儿营养的双盲随机对照试验:18-38 个月时的贝利评分。
J Perinatol. 2023 Jan;43(1):81-85. doi: 10.1038/s41372-022-01572-6. Epub 2022 Dec 6.
8
Dilemmas in human milk fortification.人乳强化的困境。
J Perinatol. 2023 Jan;43(1):103-107. doi: 10.1038/s41372-022-01502-6. Epub 2022 Sep 12.
9
Source of human milk (mother or donor) is more important than fortifier type (human or bovine) in shaping the preterm infant microbiome.人乳(母亲或捐献者)的来源比强化剂类型(人或牛)对于塑造早产儿微生物组更为重要。
Cell Rep Med. 2022 Sep 20;3(9):100712. doi: 10.1016/j.xcrm.2022.100712. Epub 2022 Aug 26.
10
Human milk nutrient fortifiers alter the developing gastrointestinal microbiota of very-low-birth-weight infants.人乳营养强化剂改变极低出生体重儿发育中的胃肠道微生物群。
Cell Host Microbe. 2022 Sep 14;30(9):1328-1339.e5. doi: 10.1016/j.chom.2022.07.011. Epub 2022 Aug 19.