早产儿喂养不耐受及处理策略

• 作 者: 曹云
• 机 构: 复旦大学附属儿科医院新生儿科,
• 出 处: 中国新生儿科杂志
• 发表日期: 2015年03期
• 关键词: 早产儿 喂养不耐受 胃肠道发育 超低出生体重 早期表现 生长迟缓 肠外营养 肠内营养 胃潴留 未成熟 食物 呕吐 临床 疾病 腹胀

喂养不耐受(feeding intolerance)指胃肠道不能消化胃肠内食物,表现为胃潴留增加、腹胀和呕吐,主要见于早产儿,尤其极低和超低出生体重(VLBW和ELBW)早产儿,主要与胃肠道发育未成熟有关,但也可为某些疾病的早期表现。临床上,喂养不耐受常常是不能顺利建立肠内营养的重要原因,可导致肠外营养时间延长、早产儿宫外生长迟缓等。一、喂养不耐受的定义[1]早产儿喂养不耐受的定义尚未达成共识。通常

Feeding intolerance refers to the inability of the gastrointestinal tract to digest gastrointestinal food, manifested as increased gastric retention, bloating and vomiting, primarily in preterm infants, especially in preterm infants with very low and very low birth weights (VLBW and ELBW) Mainly associated with the development of gastrointestinal immaturity, but also for the early manifestation of some diseases. Clinically, feeding intolerance is often not an important reason for the successful establishment of enteral nutrition, can lead to prolonged parenteral nutrition, premature ectopic growth retardation and so on. First, the definition of feeding intolerance [1] The definition of feeding intolerance in preterm infants has not yet reached a consensus. usually