|
|
Comparison of the growth and nutritional status for the very preterm infants before and after 5 years |
XU Wenying1 DING Sufang1 ZHANG Li1 WANG Yumei1 LI Min1 HAN Liangrong2 YUE Hongni1 |
1.Child Care Division, Huai′an Maternity and Child Healthcare Hospital Affiliated to Medical College of Yangzhou University, Jiangsu Province, Huai′an 223002, China; 2.Neonatal Medical Center, Huai′an Maternity and Child Healthcare Hospital Affiliated to Medical College of Yangzhou University, Jiangsu Province, Huai′an 223002, China |
|
|
Abstract Objective To contrast the different general condition, perinatal factor, growing development, nutritional support and growth outcome status among very preterm infants (VPI) before and after 5 years. Methods The data of the VPI who treated in the Neonatal Medical Center of Huai′an Maternity and Child Healthcare Hospital from January 1 to December 31, 2010 and January 1 to December 31, 2015. A total of 82 cases in 2010 and 134 cases in 2015 were divided into two groups according to the year of birth according to the inclusion criteria of hospitalization and discharge within 24 h after birth. Results The differences in the general condition and perinatal factor such as gestational age, birth weight, discharge gestational age, discharge body weight, incidence of very low birth weight infant, days of hospitalization, incidence of placental abruption in mothers; differences in the growing development and nutritional support such as minimum weight, restore birth weight time, growth rate, total enteral feeding time, time of gastrointestinal nutrition reach at 418 kJ/(kg·d), total gastrointestinal feeding time, initial amino acid usage time, initial amino acid usage dosage, accumulated amino acid usage time, initial intralipid usage time, initial intralipid usage dosage, accumulated intralipid usage time; differences in the growth outcome: incidence of total Extrauterine growth retardation (EUGR), incidence of mild EUGR were existed between the two groups the differences were statistically significant (P < 0.05). Conclusion The growth and nutritional status of VPI are on a upward trend. Pay attention to the VPI with lower birth weight, lower gestational age and severe complications, the more treatment and support in strategy paid, the better growth and hospital outcome gained.
|
|
|
|
|
[1] 徐文英,王军,武荣.小胎龄早产儿官外生长发育迟缓的临床分析[J].中国医药导报,2014,11(15):39-42.
[2] 刘康,王军,徐文英,等.62例双胎小早产儿的临床分析[J].中国医药导报,2016,11(16):84-87.
[3] Martin JA,Hamilton BE,Osterman MJ,et al. Births:final data for 2013 [J]. Natl Vital Stat Rep,2015,64(1):1-65.
[4] 李娜,刘丽红.早产儿临床流行病学研究现状[J].国际儿科学杂志,2016,43(7):576-580.
[5] Bolisetty S,Legge N,Bajuk B,et al. Preterm infant outcomes in new south wales and the australian capital territory [J]. J Paediatr Child Health,2015,51(7):713-721.
[6] Abily-Donval L,Pinto-Cardoso G,Chadie A,et al. Comparison in outcomes at two-years of age of very preterm infants born in 2000,2005 and 2010 [J]. PLoS One,2015, 10(2):e0114567.
[7] 江载芳,申昆玲,沈颖.诸福棠实用儿科学[M].北京:人民卫生出版社,2015:41-42.
[8] Clark RH,Thomas P,Peabody J. Extrauterine growth restriction remains a serious problem in prematurely born neonates [J]. Pediatrics,2003,111(5 Pt 1):986-900.
[9] Fenton TR,Nasser R,Eliasziw M,et al. Validating the weight gain of preterm infants between the reference growth curve of the fetus and the term infant [J]. BMC Pediatr,2013,13(1):92.
[10] Patel AL,Engstrom JL,Meier PP,et al. Accuracy of methods for calculating postnatal growth velocity for extremely low birth weight infants [J]. Pediatrics,2005,116(6):1466-1473.
[11] Sun L,Yue H,Sun B,et al. Estimation of Birth Population-Based Perinatal-Neonatal Mortality and Preterm Rate in China from a Regional Survey in 2010 [J]. J Matern Fetal Neonatal Med,2013,26(16):1641-1648.
[12] Sun L,Yue H,Sun B,et al. Estimation of high risk pregnancy contributing to perinatal morbidity and mortality from a birth population-based regional survey in 2010 in China [J]. BMC Pregnancy Childbirth,2014,14(1):338.
[13] 极低出生体重儿营养与生长发育研究协作组.极低出生体重儿院内生长发育状态多中心回顾性研究[J].中华儿科杂志,2013,51(1):4-11.
[14] 徐文英,吕艳关,岳虹霓,等.宫外生长迟缓早产儿氮平衡变化[J].中华临床营养杂志,2015,23(6):362-367.
[15] 许巍.出生体重1300 g或以下婴儿生后生长困难的预防[J].国际儿科学杂志,2016,43(2):137.
[16] 中华医学会肠外肠内营养学分会儿科学组,蔡威,汤庆娅,等.中国新生儿营养支持临床应用指南[J].临床儿科杂志,2013,2(12):282-291.
[17] 徐文英,胡金绘,岳虹霓,等.年龄别体质量Z评分法动态评估早产儿宫外生长发育迟缓[J].中华实用儿科临床杂志,2016,31(2):108-111.
[18] 杨晓华,黄越芳,庄思齐,等.早产极低出生体重儿宫外生长迟缓发生状况及其危险因素[J].中华围产医学杂志,2015,18(2):87-93.
[19] Finken MJ,Dekker FW,De ZF,et al. Long-term height gain of prematurely born children with neonatal growth restraint:parallellism with the growth pattern of short children born small for gestational age [J]. Pediatrics,2006,118(2):640-643.
[20] 杨晓华,黄越芳,陈静贤,等.宫外生长迟缓早产儿生后18月的生长模式及影响因素[J].中华围产医学杂志,2016,19(10):766-771.
[21] Wang PW,Fang LJ,Tsou KI. The growth of very-low-birth-weight infants at 5 years old in Taiwan [J]. Pediatr Neonatol,2014,55(2):114-119.
[22] Hutchinson EA,Luca CRD,Doyle LW. School-age outcomes of extremely preterm or extremely low birth weight children [J]. Pediatrics,2013,131(4):e1053-e1061. |
|
|
|