Expert consensus on nutritional management of preterm infants with bronchopulmonary dysplasia
ZHANG Rong1, LIN Xin-Zhu2, CHANG Yan-Mei3, LIU Xi-Hong4, TONG Xiao-Mei3, DING Guo-Fang5, Nutritional Committee of Neonatology Branch of Chinese Medical Doctor Association;Editorial Committee of Chinese Journal of Contemporary Pediatrics
1. Department of Neonatology, Children's Hospital of Fudan University, Shanghai 201102, China;
2. Department of Neonatology, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, Fujian 361003, China;
3. Department of Pediatrics, Third Hospital, Peking University, Beijing 100191, China;
4. Department of Clinical Nutrition, Guangzhou Women&Children's Medical Center, Guangzhou 510623, China;
5. Department of Pediatrics, Chinese Academy of Medical Science Peking Union Medical College Hospital, Beijing 100730, China
Abstract Inadequate nutrition supply in the early stage after birth is a risk factor for the development of bronchopulmonary dysplasia (BPD) in preterm infants, and it is also closely associated with the progression and clinical outcome of BPD. Optimized nutritional support is of great importance to reduce the incidence and severity of BPD and promote lung development and neurological prognosis. Based on the relevant studies in China and overseas, the expert consensus on BPD nutrition management is developed by the Grading of Recommendations Assessment, Development and Evaluation (GRADE) method. The consensus includes the following seven aspects: the importance of nutrition in BPD, fluid intake, energy intake, enteral nutrition, parenteral nutrition, post-discharge nutrition, and nutrition monitoring and evaluation.
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