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首页> 外文期刊>BMC Pediatrics >Nutrition practice, compliance to guidelines and postnatal growth in moderately premature babies: the NUTRIQUAL French survey
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Nutrition practice, compliance to guidelines and postnatal growth in moderately premature babies: the NUTRIQUAL French survey

机译：NUTRIQUAL法国人的营养调查，对指南的遵守情况以及中度早产儿的出生后生长

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The nutritional care provided to moderately premature babies is poorly studied. For a large cohort of such babies, we aimed to describe: nutrition practice intentions, comparison of the intended with the actual practice, compliance of actual practice to current nutrition guidelines, and postnatal growth. A questionnaire was sent out to 29 neonatal intensive care units in France, in order to address practice intentions. In the same units, retrospective patient’s data were collected to assess actual practice, compliance to nutrition guidelines and infant postnatal growth. The cumulative nutritional deficit during the two first weeks of life was calculated and variables associated with ΔZ-score for weight at 36?weeks postconceptional age/discharge (ΔZ-scorew 36PCA/DC) were analysed by multivariate linear regression. 276 infants born 30 to 33?weeks of gestation were studied. Among them, 76?% received parenteral nutrition on central venous line after birth. On day of life 1 (DOL1), 93?% of infants had parenteral amino acids (AA), at an intake?≥?1.5?g/kg in 27?% of cases. Lipids were started at?≤?DOL2 in 47?% of infants. There was a divergence between the intended and the actual practice for both AA and lipids intake. The AA and energy cumulative deficit (DOL1 to DOL14) were respectively 10.9?±?8.3?g/kg and 483?±?181?kcal/kg. Weight Z-score (mean?±?SD) significantly decreased from birth (?0.17?±?0.88) to 36?weeks PCA/DC (?1.00?±?0.82) (p?
机译：对中度早产婴儿提供的营养保健研究很少。对于一大批此类婴儿，我们的目标是描述：营养实践的意图，目标与实际实践的比较，实际实践对当前营养指南的依从性以及出生后的成长。向法国的29个新生儿重症监护病房发送了一份问卷，以解决实践意图。在同一单元中，收集了回顾性患者的数据，以评估实际做法，对营养指南的依从性和婴儿出生后的成长。计算出生后头两周的累积营养缺乏症，并通过多元线性回归分析与受孕年龄/出院后36周体重的ΔZ评分相关的变量（ΔZ评分36PCA / DC）。研究了276名婴儿，其出生在妊娠30至33周。其中，有76％的人出生后接受了中心静脉线的肠胃外营养。在第1天（DOL1），有93％的婴儿含有肠胃外氨基酸（AA），在27％的情况下摄入量≥≥1.5？g / kg。在47％的婴儿中，脂质开始于D≤DOL2。 AA和脂类摄入的预期和实际做法之间存在差异。 AA和能量累积赤字（DOL1至DOL14）分别为10.9Ω·±8.3Ωg/ kg和483Ω±181181kcal / kg。体重Z评分（平均±±SD）从出生时（？0.17±±0.88）显着降低至36周PCA / DC（？1.00±±0.82）（p？<？0.0001），并且PCA / DC在36周时的子宫发育迟缓（EUGR）率为24.2％。与ΔZ评分36PCA / DC相关的自变量为AA累积摄入量和全肠道喂养的DOL。营养摄入量不符合建议，该人群中EUGR的发生率很高。需要努力改善对中度早产婴儿的营养指导和生长结果的依从性。

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