Efficacy comparison of different nutrition management schemes for premature infants after hospital discharge

WANG Yiqian; CHENG Hongbin; YIN Huan; XU Yunbo; CAI Cheng

doi:10.7619/jcmp.20213500

Journal of Clinical Medicine in Practice > 2022 > 26(9): 99-102. > DOI: 10.7619/jcmp.20213500

WANG Yiqian, CHENG Hongbin, YIN Huan, XU Yunbo, CAI Cheng. Efficacy comparison of different nutrition management schemes for premature infants after hospital discharge[J]. Journal of Clinical Medicine in Practice, 2022, 26(9): 99-102. DOI: 10.7619/jcmp.20213500

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Efficacy comparison of different nutrition management schemes for premature infants after hospital discharge

1.
Department of Neonatology, Huangshi City Maternal and Child Health Care Hospital in Hubei Province, Huangshi, Hubei, 435000
2.
Department of Neonatology, Shanghai Children's Hospital, Shanghai, 200062

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Received Date: August 30, 2021
Available Online: May 09, 2022
Published Date: May 14, 2022

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Abstract

Abstract

Objective To compare the efficacy of different nutrition management schemes in treatment of premature infants after hospital discharge.
Methods Premature infants with gestational age < 34 weeks and birth weight < 1 800 g after hospital discharge from July 2019 to June 2020 were prospectively selected as research objects, and they were divided into individualized nutrition group with regular follow up and routine nutrition group without regular follow up. The general data, physical growth status at different ages and neuropsychological development quotient (DQ) at the corrected age of 1 year were compared between the two groups after hospital discharge.
Results A total of 114 premature infants after hospital discharge were included in this study, including 65 cases in the individualized nutrition group and 49 cases in the routine nutrition group. There were no significant differences in gender, gestational age, body mass, body length, head circumference, living environment and guardian's education level between the two groups (P>0.05). The weight-for-age Z value (WAZ), length-for-age Z value (LAZ), weight-for-length Z value (WLZ) and head circumference-for-age Z value (HCZ) of premature infants in the individualized nutrition group were significantly higher than those in the routine nutrition group at 1 month, 3, 6 and 12 months of corrected month age (P < 0.05). The DQ of adaptability, big movement, fine movement, language and personal social interaction of nervous system in premature infants of the individualized nutrition group were significantly higher than those in the routine nutrition group at 1 year old of corrected age (P < 0.05).
Conclusion Individualized nutritional management for premature infants after hospital discharge is conducive to achieve catch-up growth and reduce the risk of neurodysplasia in later stage.
- premature infants,
- nutrition management,
- growth and development,
- individualized nutrition,
- developmental quotient

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References

[1]	CHAWANPAIBOON S, VOGEL J P, MOLLER A B, et al. Global, regional, and national estimates of levels of preterm birth in 2014: a systematic review and modelling analysis[J]. Lancet Glob Health, 2019, 7(1): e37-e46. doi: 10.1016/S2214-109X(18)30451-0
[2]	早产儿母乳强化剂使用专家共识工作组, 中华新生儿科杂志编辑委员会. 早产儿母乳强化剂使用专家共识[J]. 中华新生儿科杂志: 中英文, 2019, 34(5): 321-328. doi: 10.3760/cma.j.issn.2096-2932.2019.05.001
[3]	BROWN J V, EMBLETON N D, HARDING J E, et al. Multi-nutrient fortification of human milk for preterm infants[J]. Cochrane Database Syst Rev, 2016(5): CD000343.
[4]	PAMPANINI V, BOIANI A, DE MARCHIS C, et al. Preterm infants with severe extrauterine growth retardation (EUGR) are at high risk of growth impairment during childhood[J]. Eur J Pediatr, 2015, 174(1): 33-41. doi: 10.1007/s00431-014-2361-z
[5]	董萍, 付诗韵, 唐心蕊, 等. 出院后不同强化喂养方式对极早和超早产儿体格发育的影响研究[J]. 中国儿童保健杂志, 2020, 28(10): 1088-1092. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202010007.htm
[6]	《中华儿科杂志》编辑委员会, 中华医学会儿科学分会儿童保健学组, 中华医学会儿科学分会新生儿学组. 早产、低出生体质量儿出院后喂养建议[J]. 中华儿科杂志, 2016, 54(1): 6-12.
[7]	YOU J, SHAMSI B H, HAO M C, et al. A study on the neurodevelopment outcomes of late preterm infants[J]. BMC Neurol, 2019, 19(1): 108. doi: 10.1186/s12883-019-1336-0
[8]	桑田, 王颖, 王红梅, 等. 极低/超低出生体重早产儿头颅超声检查与神经发育评估的关系[J]. 中华新生儿科杂志: 中英文, 2020, 35(1): 4-9.
[9]	熊菲, 毛萌. 早产儿生后体格生长评价[J]. 中华儿科杂志, 2019, 57(4): 318-320. doi: 10.3760/cma.j.issn.0578-1310.2019.04.021
[10]	KOO W, TICE H. Human milk fortifiers do not meet the current recommendation for nutrients in very low birth weight infants[J]. JPEN J Parenter Enteral Nutr, 2017: 014860711771320. doi: 10.1177/0148607117713202
[11]	陈绍红, 何仕劼, 孟森玲, 等. 早产儿出院后体格发育和神经心理发育随访研究[J]. 中国妇幼保健, 2019, 34(14): 3224-3226. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201914024.htm
[12]	SICARD M, NUSINOVICI S, HANF M, et al. Fetal and postnatal head circumference growth: synergetic factors for neurodevelopmental outcome at 2 years of age for preterm infants[J]. Neonatology, 2017, 112(2): 122-129. doi: 10.1159/000464272
[13]	梁晶晶, 胡艳, 邢艳菲, 等. 晚期早产儿和早期足月儿1岁时神经心理发育水平的随访研究[J]. 中国当代儿科杂志, 2020, 22(7): 706-710. https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ202007008.htm
[14]	曹云. 极早和超早产儿神经发育结局[J]. 中国儿童保健杂志, 2019, 27(2): 119-122. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201902002.htm
[15]	AMISSAH E A, BROWN J, HARDING J E. Protein supplementation of human milk for promoting growth in preterm infants[J]. Cochrane Database Syst Rev, 2020, 9: CD000433.

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Efficacy comparison of different nutrition management schemes for premature infants after hospital discharge