| 朱云霞,李勇裴,林晓燕.不同喂养方式对早发型母乳性黄疸患儿血清胆红素的影响研究[J].浙江中西医结合杂志,2019,29(2): |
| 不同喂养方式对早发型母乳性黄疸患儿血清胆红素的影响研究 |
| Clinical Observation of Different Feeding Manners on Serum Bilirubin for Early-onset Breast Milk Jaundice |
| 投稿时间：2017-12-10 修订日期：2019-01-07 |
| DOI： |
| 中文关键词: 早发型母乳性黄疸 母乳喂养 混合喂养 人工喂养 血清胆红素 |
| 英文关键词:Early-onset breast milk jaundice, Exclusive breastfeeding, Mixed feeding, special formula feeding, Serum bilirubin |
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| 中文摘要: |
| 目的 探究母乳喂养、混合喂养及人工喂养对早发型母乳性黄疸患儿血清胆红素、黄疸指数及体重的影响；方法 选取我院2016年88例早发型母乳性黄疸患儿分成3组，母乳喂养组31例，混合喂养组26例，人工喂养组31例，观察各组不同喂养方式1d(第1天）、3d（第3天）、5d（第5天）、7d（第7天）的血清胆红素、黄疸指数和体重变化。结果 不同喂养方式1d各组间血清胆红素和黄疸指数无显著差异（P>0.05）；不同喂养方式3d、5d、7d，母乳喂养组及混合喂养组血清胆红素、黄疸指数均低于人工喂养组（P<0.05），且混合喂养组血清胆红素和黄疸指数低于母乳喂养组（P<0.05）；不同喂养方式1d、3d，各组间体重增加量无显著差异（P>0.05）；不同喂养方式5d、7d，混合喂养组体重的增加量相比母乳喂养组和人工喂养组要高（P<0.05）；不同喂养方式7d，母乳喂养组体重的增加量高于人工喂养组（P<0.05）；并且血清胆红素减少量和黄疸指数减少量与体重的增加量呈正相关性。结论 对于早发型母乳性黄疸患儿，患儿黄疸未消退前，需要帮助母亲建立成功的母乳喂养，适当增加婴儿配方粉，确保足够的奶量摄入，有利于黄疸消退，促进患儿的生长发育。 |
| 英文摘要: |
| Objective To explore the efficacy on the serum bilirubin, jaundice index and weight gain of infants with early-onset breast milk jaundice by giving different feeding methods, containing the breast milk, special formula or mixed feeding. Method From January 2016 to December 2016, 88 cases of early-onset breast milk jaundice in our hospital were randomly divided into breast milk group, mixed feeding group and special formula group, 31 cases exclusive breast feeding in breast milk group, 26 cases mixed feeding in special formula group, 31 cases special formula feeding in special formula group. To detected and recorded changes of serum bilirubin, jaundice index and weight gain, and to observe 1 d(the first day), 3 d(the third day), 5 d(the fifth day), 7 d(the seventh day) . Results Serum bilirubin and Jaundice index on 1 day was no significant difference among breast milk group, mixed feeding group and special formula group（P>0.05）; Serum bilirubin and jaundice index on 3 d, 5 d, 7 d of breast milk group and mixed feeding group were less than special formula group, and mixed feeding group less than breast milk group（P<0.05 or P<0.01）; Weight gain on 1d, 3d of special formula, was no significant difference among breast milk group, mixed feeding group and special formula group（P>0.05）; Compared with the breast milk group and special formula group, Weight gain on 5d, 7d of mixed feeding group was the highest（P<0.05 or P<0.01）; Weight gain on 7 day of breast milk group was more than special formula group（P<0.05）; Reduction of serum bilirubin and jaundice index were negatively correlated with weight gain. Conclusion For early-onset breast milk jaundice infants, it is necessary to help mothers establish successful breast-feeding, increase infant formula powder appropriately, ensure adequate milk intake, mixed feed can significantly reduce serum bilirubin and jaundice index, it was beneficial for growth and development of infants. |
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