母乳喂养和人工喂养对新生儿体格发育、营养状况的影响研究
摘要
目的探讨母乳喂养和人工喂养对新生儿体格发育、营养状况的影响。方法选取2017年1月-2017年12月期间在鄂东医疗集团黄石市妇幼保健院正常出生的200例健康新生儿,根据新生儿父母选择喂养方式不同,将其分为母乳喂养组78例和人工喂养组122例。新生儿出生后均随访6个月,观察两组新生儿的身长、体质量、头围变化情况,采用考普氏指数(Kaup)和相关血生化检测结果判断两组新生儿的营养状况,并对数据进行统计学分析。结果截至出生6个月随访期末,母乳喂养组随访成功率96. 15%(75/78),人工喂养组随访成功率95. 90%(117/122);随访出生3个月时母乳喂养组体质量(6 404. 2±425. 3) g、身长(61. 2±2. 6) cm、头围(37. 4±1. 5) cm、Kaup指数正常率92. 00%(69/75)分别高于人工喂养组(6 253. 5±405. 8) g、(60. 4±2. 3) cm、(36. 9±1. 3) cm、81. 20%(95/117),差异均有统计学意义(均P<0. 05),但随访出生6个月时两组上述体格指标、Kaup指数正常率、血HGB、PA表达相较差异均无显著差异,差异无统计学意义(P>0. 05)。结论母乳喂养在新生儿0～3月龄阶段效果优于人工喂养,随月龄增加至6月龄,两种喂养方式对新生儿体格发育、营养状况影响趋于接近。
引文
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[14]丁俊杰,高丽英,曹英,等.建立母乳喂养1、2和3月时生长速率曲线-基于母乳与配方粉喂养的多中心随机对照试验[J].中国循证儿科杂志,2017,12(2):81-86.
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[2]马守庆,边高瑞,朱伟云,等.母乳的生物学功能研究进展[J].食品科学,2015,36(5):233-238.
[3]佚名.卫生部出台《婴幼儿喂养策略》杜绝母乳代用品推销活动[J].西部医学,2007,14(5):921-921.
[4]Padilla GV,Grant MM.Psychosocial aspects of artificial feeding[J].Cancer,2015,55(S1):301-304.
[5]Andreas NJ,Kampmann B,Mehring LK.Human breast milk:A review on its composition and bioactivity[J].Early Hum Dev,2015,91(11):629-635.
[6]赵洁,孙天松.母乳对婴儿肠道菌群及免疫系统影响的研究进展[J].食品科学,2017,38(1):289-296.
[7]孙思,万宏伟,朱毓,等.母乳喂养现状及影响因素研究进展[J].中华现代护理杂志,2015,21(3):361-364.
[8]Belfort MB,Anderson PJ,Nowak VA,et al.Breast Milk Feeding,Brain Development,and Neurocognitive Outcomes:A 7-Year Longitudinal Study in Infants Born at Less Than 30 Weeks'Gestation[J].J Pediatr,2016,177(6):133-139.e1.
[9]苗世敏.不同喂养方式对新生儿生长发育及健康状况的影响[J].中国妇幼保健,2016,31(15):3079-3081.
[10]Madore LS,Bora S,Erdei C,et al.Effects of Donor Breastmilk Feeding on Growth and Early Neurodevelopmental Outcomes in Preterm Infants:An Observational Study[J].Clin Ther,2017,39(6):1210-1220.
[11]Jiang M,Zhang F,Wan C,et al.Evaluation of probiotic properties of Lactobacillus plantarum WLPL04 isolated from human breast milk[J].J Dairy Sci,2016,99(3):1736-1746.
[12]Wada Y,Phinney BS,Weber D,et al.In vivo digestomics of milk proteins in human milk and infant formula using a suckling rat pup model[J].Peptides,2017,88(5):18-31.
[13]崔一帆,张蓓,肖绪武.不同喂养方式对婴儿早期生长发育影响的研究[J].中国儿童保健杂志,2016,24(7):735-738.
[14]丁俊杰,高丽英,曹英,等.建立母乳喂养1、2和3月时生长速率曲线-基于母乳与配方粉喂养的多中心随机对照试验[J].中国循证儿科杂志,2017,12(2):81-86.
[15]Philippa P,Ong KK,Schoemaker MH,et al.Breast milk nutrient content and infancy growth[J].Acta Paediatr,2016,105(6):641-647.