OBJECTIVE: The issue of enteral feeding becomes a hotspot with the increasing survival rate of premature infants. Intermittent nasoduodenal feeding (INDF) is a common method of feeding premature infants in China and more discussion is needed at whether intermittent nasogastric feeding (INGF) is better than INDF. This paper aims at comparing the effects of INDF and INGF on nutrient intake, physical growth, feeding related complications, and serum prealbumin (PA) level in premature infants shortly after birth. METHODS: Forty premature infants (birth weights ranging from 1 050 g to 1 920 g) were randomly assigned into INDF and INGF groups that were fed with the same formula. The amount of liquid, caloric and protein intakes, variation of physical growth parameters (e.g. body weight, length and head circumference), stool characters, and feeding related complications were recorded in the first week of initial feeding. The serum PA level was detected by ELISA 1 week before and 1 week after feeding. RESULTS: After the first week the amount of milk input, caloric and protein intakes were significantly higher in the INDF group than those in the INGF group (P< 0.01 ). The time taken to reach the caloric value of 418.4 kJ /kg daily by enteral feeding and the birth weight regaining time in the INDF group were significantly shorter than those in the INGF group (P< 0.05 ). There was no significant difference in the increase of length and head circumference between the two groups. The serum PA level in the INDF group by the end of the first week was higher than that in the INGF group (P< 0.05 ). There were no occurrences of diarrhea and necrotizing enterocolitis in the two groups. The incidence of feeding related complications, such as aspiration pneumonia, vomiting and gastric residue, was lower in the INDF group than that in the INGF group, but no significant difference was found. The incidence of hyperbilirubinemia was significantly lower in the INDF group than that in the INGF group (P< 0.01 ). CONCLUSIONS: In premature infants fed by INDF the amount of nutrition intake may increase, feeding related complications may decrease during the initial feeding and nutritional situations may be better than in those premature infants fed by INGF."/>
Changes of the Serum Prealbumin Level in Premature Infants by Intermittent Nasoduodenal and Intermittent Nasogastric Feedings
Abstract OBJECTIVE: The issue of enteral feeding becomes a hotspot with the increasing survival rate of premature infants. Intermittent nasoduodenal feeding (INDF) is a common method of feeding premature infants in China and more discussion is needed at whether intermittent nasogastric feeding (INGF) is better than INDF. This paper aims at comparing the effects of INDF and INGF on nutrient intake, physical growth, feeding related complications, and serum prealbumin (PA) level in premature infants shortly after birth. METHODS: Forty premature infants (birth weights ranging from 1 050 g to 1 920 g) were randomly assigned into INDF and INGF groups that were fed with the same formula. The amount of liquid, caloric and protein intakes, variation of physical growth parameters (e.g. body weight, length and head circumference), stool characters, and feeding related complications were recorded in the first week of initial feeding. The serum PA level was detected by ELISA 1 week before and 1 week after feeding. RESULTS: After the first week the amount of milk input, caloric and protein intakes were significantly higher in the INDF group than those in the INGF group (P< 0.01 ). The time taken to reach the caloric value of 418.4 kJ /kg daily by enteral feeding and the birth weight regaining time in the INDF group were significantly shorter than those in the INGF group (P< 0.05 ). There was no significant difference in the increase of length and head circumference between the two groups. The serum PA level in the INDF group by the end of the first week was higher than that in the INGF group (P< 0.05 ). There were no occurrences of diarrhea and necrotizing enterocolitis in the two groups. The incidence of feeding related complications, such as aspiration pneumonia, vomiting and gastric residue, was lower in the INDF group than that in the INGF group, but no significant difference was found. The incidence of hyperbilirubinemia was significantly lower in the INDF group than that in the INGF group (P< 0.01 ). CONCLUSIONS: In premature infants fed by INDF the amount of nutrition intake may increase, feeding related complications may decrease during the initial feeding and nutritional situations may be better than in those premature infants fed by INGF.
LU Hui,XUE Xin-Dong,ZHANG Jia-Xiang et al. Changes of the Serum Prealbumin Level in Premature Infants by Intermittent Nasoduodenal and Intermittent Nasogastric Feedings[J]. 中国当代儿科杂志, 2003, 5(6): 519-522.
LU Hui,XUE Xin-Dong,ZHANG Jia-Xiang et al. Changes of the Serum Prealbumin Level in Premature Infants by Intermittent Nasoduodenal and Intermittent Nasogastric Feedings[J]. CJCP, 2003, 5(6): 519-522.
