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肠道喂养是新生儿坏死性小肠结肠炎(NEC)的发病中三个重要因素之一。在发牛NEC之前,90％以上的新生儿有过肠道喂养史,并有喂养速度太快,24小时内奶量增加过多或总液量太多等因素。作者研究了19例相继发生NEC的早产儿,以X线片上有肠壁囊样积气为诊断依据。为散发性NEC,每个NEC患儿都有2例在出生体重和进入(一周内)NICU时间与病人一致的新生儿作对照。共38例。比较数包括乳类选择、肠道用药、肠道喂养量的的参增长迅度以及总液量。研究期间,作者的婴儿室只用标准婴儿配方,其渗透压浓度为360mOsm/L。
Gut feeding is one of three important factors in the pathogenesis of neonatal necrotizing enterocolitis (NEC). More than 90% of newborns have had a history of gut-feeding before feeding the NEC and are fed too fast, too much milk in 24 hours, or too much total fluid. The authors studied 19 cases of preterm neonates with NEC one after another, based on X-ray films of intestinal wall-like gas accumulation. In sporadic NECs, two neonates with identical NBS at birth weight and entry (within a week) NICU were matched in each NEC. A total of 38 cases. Comparisons include milk selection, gut administration, gut growth, and total fluid volume. During the study, the author’s infant room only standard infant formula, the osmolality of 360mOsm / L.