healthcareЗдравоохранение. HealthcareHealthcare1027-7218Republican Scientific and Practical Center for Medical Technologies, Informatization, Management and Health Economicshealthcare-153Research ArticleЛЕКЦИИ И ОБЗОРЫLECTURES AND REVIEWSСовременные подходы к профилактике и лечению анемии недоношенных (обзор литературы)Modern approaches to prevetion and treatment of anemia of prematurity (literature review)КозарезоваА. М.KozarezovaА. M.

Козарезова Анна Михайловна — врач-неонатолог.

Ул. Ф. Скорины, 16, 220076, г. Минск.

Сл. тел. +375 17 269-72-11.

КлимковичН. Н.KlimkovichN. N.

Минск.

КрастелеваИ. М.KrastsialiovaI. M.

Минск.

БерестеньС. А.BerestsenS. A.

Минск.

ПечкуроваО. Н.PechkurovaO. N.

Минск.

Институт ПК и ПКЗ УО «Белорусский государственный медицинский университет»; Клинический родильный дом Минской областиBelarusИнститут ПК и ПКЗ УО «Белорусский государственный медицинский университет»BelarusРНПЦ «Мать и дитя»Belarus2024240920250103746Copyright © Козарезова А.М., Климкович Н.Н., Крастелева И.М., Берестень С.А., Печкурова О.Н., 20252025Козарезова А.М., Климкович Н.Н., Крастелева И.М., Берестень С.А., Печкурова О.Н.Kozarezova А.M., Klimkovich N.N., Krastsialiova I.M., Berestsen S.A., Pechkurova O.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://healthcare.ejournal.by/jour/article/view/153

Анемия недоношенных встречается у абсолютного большинства новорожденных, которые родились крайне незрелыми или имели экстремально низкую массу тела при рождении. Безусловно, чем меньше срок гестации ребенка, тем выше вероятность развития этого патологического состояния. Однако ввиду ряда факторов развитию анемии подвержены и дети с умеренной или легкой степенью недоношенности. Обобщены и систематизированы современные данные по немедикаментозной профилактике анемии недоношенных, к которым можно отнести отсроченное пережатие пуповины, доение пуповины, оптимизацию забора крови, подходы к энтеральному и парентеральному питанию недоношенных. Представлены информация по медикаментозной профилактике и результаты последних исследований по лечению посредством гемотрансфузии и препаратов эритропоэтина.

Anemia of prematurity occurs in the vast majority of extremely immature newborns or infants with extremely low birth weight. It is known that this pathological condition develops the higher than shorter is baby’s gestational age. However, due to a number of factors, anemia of prematurity may occur in newborns with moderate or mild prematurity. This review summarizes and systematizes modern data on non-drug prevention of anemia of prematurity, which includes delayed umbilical cord clamping, umbilical cord milking, optimization of blood sampling, approaches to enteral and parenteral nutrition of premature infants. We also presented information about drug prevention and results of recent studies of treatment using blood transfusion and erythropoietin preparations.

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The authors declare that there are no conflicts of interest present.