中国儿童保健杂志 ›› 2018, Vol. 26 ›› Issue (11): 1203-1206.DOI: 10.11852/zgetbjzz2018-26-11-11

• 综述与讲座 • 上一篇    下一篇

小于胎龄儿的营养管理

林榕,吴明远   

  1. 浙江大学医学院附属妇产科医院,浙江 杭州 310006
  • 收稿日期:2018-04-17 修回日期:2018-06-07
  • 通讯作者: 吴明远,E-mail:wumy@zju.edu.cn
  • 作者简介:林榕(1992-),女,福建人,在读硕士研究生,主要研究方向为新生儿营养管理

Nutrition management of small for gestational age

LIN Rong, WU Ming-yuan   

  1. Department of Neonatology, Women′s Hospital, Zhejiang University School of Medicine Hangzhou,Zhejiang 310006, China
  • Received:2018-04-17 Revised:2018-06-07
  • Contact: WU Ming-yuan, E-mail:wumy@zju.edu.cn

摘要: 小于胎龄儿(SGA)是导致围生期患儿发病和死亡的重要原因之一,并与儿童智力水平下降以及成年后发生身材矮小、心血管疾病、代谢综合征等相关。早期积极的营养支持有利于改善神经系统的发育、增强抗感染能力,但出生后早期生长过快又与胰岛素抵抗、代谢综合征等相关。如何权衡利弊,为SGA提供合理的营养支持是目前面临的重要挑战。本文就SGA的营养需求、肠内喂养策略、合理生长速度进行综述,旨在提高SGA营养管理质量,改善SGA预后。

关键词: 小于胎龄儿, 营养管理, 预后

Abstract: Small for gestational age (SGA) is one of the most important causes for the morbidity and mortality of perinatal infants. Early nutrition is an important determinant of growth, morbidity and psychomotor development in SGA. Aggressive nutrition helps improve postnatal growth retardation, decreases morbidity and is positively related to psychomotor development. There is a consistent association between rapid infancy growth and metabolic syndrome in childhood and later life. So, to balance the benefits and disadvantages of rapid early growth is critically challenging. This review summarizes the optimal nutrition management for SGA newborns, in order to provide evidence for facilitating the quality of nutritional management for SGA,thereby improving the prognosis of SGA.

Key words: small for gestational age, nutrition management, prognosis

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