摘要小于胎龄儿的喂养问题是新生儿领域具有挑战性的难题.这些患儿易并发喂养不耐受和坏死性小肠结肠炎,因此临床上常延迟肠道喂养;而生后长期禁食反而不利于减少坏死性小肠结肠炎的发生.本文将对小于胎龄儿的开始喂养时间、增加喂养量、母乳喂养、喂养方法及喂养不耐受和坏死性小肠结肠炎等作一综述,以期为临床应用提供借鉴.

abstractsFeeding small for gestational age newborns is extremely challenging for the neonatologist. Awareness that these babies are at high risk for feeding intolerance and necrotising enterocolitis has led to a common practice of delaying the introduction of enteral feeds.Nevertheless,prolonging enteral fasting after birth is not justified on the basis of necrotising enterocolitis incidence or feeding tolerance.This review will focuse on the optimum timing for introduction of enteral feeding,increasing the amount of feeding,the importance of breastfeeding,feeding method,feeding intolerance and necrotising enterocolitis in small for gestational age infants.