母乳成分与纯母乳喂养婴儿体重增长速率的关系

发布时间：2018-01-13 15:10

本文关键词：母乳成分与纯母乳喂养婴儿体重增长速率的关系　出处：《中国当代儿科杂志》2016年10期 　论文类型：期刊论文

【摘要】：目的探讨母乳成分对纯母乳喂养婴儿体重生长速率的影响。方法选取定期进行儿童保健的138例纯母乳喂养足月单胎婴儿及其乳母作为研究对象。在定期儿童保健时间点进行婴儿体重、身长及头围的测量,采用Z积分计算生长速度,并根据ΔZ积分将研究对象分为生长不良组(ΔZ积分≤-0.67)、生长速度低下组(-0.67ΔZ积分0)和正常对照组(ΔZ积分≥0)。采集婴儿母亲成熟乳进行母乳成分分析,比较3组成熟乳中蛋白质、脂肪、碳水化合物、矿物质和能量的水平差异。结果生长不良组、生长速度低下组体重ΔZ积分显著低于正常对照组(P0.05)。生长不良组、生长速度低下组成熟乳中蛋白质、脂肪含量及能量水平与正常对照组相比差异无统计学意义,但碳水化合物和矿物质含量均低于正常对照组(P0.05)。结论成熟乳母乳成分可短时间内在一定程度上影响纯母乳喂养婴儿的体重增长速率,乳母应均衡膳食,提高成熟乳质量以维持婴儿良好的体格生长速率。
[Abstract]:Objective to investigate the effect of the composition of breast milk on body weight growth rate of breast fed infants. Methods 138 cases of regular breastfeeding in full-term singleton infants and children's health care nurse as the research object. The baby weight in regular child care time, length and head circumference measurement, using Z integral calculation of growth rate, according to a Z integral research object can be divided into negative growth group (Z score less than or equal to -0.67), the low speed growth group (-0.67 Z 0 points) and normal control group (Z score = 0). The mother of the baby milk collection mature breast milk composition analysis, comparison of 3 proteins, cooked in milk fat, carbohydrate, level difference minerals and energy. The poor growth group, the growth rate of the low weight group Z score significantly lower than the normal control group (P0.05). Poor growth group, the growth rate is low. The protein in milk can be cooked, and fat content The amount and the normal control group had no significant difference, but the carbohydrate and mineral content were lower than the normal control group (P0.05). Conclusion the mature milk composition of breast milk can be affected within a short period of time to a certain extent in breast fed infants weight growth rate, nursing mothers should be balanced diet, improve the quality of mature milk to maintain good baby physique the growth rate.

【作者单位】：四川大学华西第二医院儿科/出生缺陷与相关妇儿疾病教育部重点实验室;
【基金】：四川省卫生厅课题(150103)
【分类号】：R174
【正文快照】： 母乳含有多种生物活性物质,易于消化吸收,在调节免疫和生长发育等方面发挥不可替代的作用,是满足婴儿生理和心理发育的最理想的天然食物[1]。WHO和联合国儿童基金会建议,在生命的最初6个月应对婴儿进行纯母乳喂养以实现最佳生长、发育和健康[2]。婴儿期是生后生长发育最快的阶

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