摘要
目的 分析早产儿喂养不耐受的危险因素,为预防及干预提供参考.方法 270例早产儿纳入研究,回顾性分析其临床资料,探讨危险因素.结果 共发生喂养不耐受108例,早产儿胎龄、体质量、1分钟Apgar、宫内窘迫、应用氨茶碱、胃出血、应用呼吸机、产前使用糖皮质激素、胎盘异常、围产期感染为早产儿喂养不耐受的相关因素.多元Logistic回归分析显示,胃出血、使用呼吸机、应用氨茶碱为早产儿喂养不耐受的独立危险因素.结论 早产儿的喂养不耐受由多种原因引起,需要采取合理的预防及干预措施.
Objective To investigate the risk factors of feeding intolerance in preterm infants and provide reference for the prevention and intervention.Methods Two hundred and Seventy preterm infants were included in the study.The clinical data were collected to analyze the risk factors.Results There were 108 cases showed feeding intolerance.Gestational age,weight,1 minute Apgar,fetal distress,application of aminophylline,stomach bleeding,application of ventilator,prenatal use of GCs,abnormal placenta,perinatal infection were related factors of feeding intolerance in preterm infants.Multivariate Logistic regression analysis showed that application of aminophylline,stomach bleeding,application of ventilator were the independent risk factors of premature infants with feeding intolerance,gestational age was protective factors of feeding intolerance.Conclusion Premature infants with feeding intolerance caused by a variety of factors,and the reasonable measures of prevention and intervention were needed.
出处
《中国综合临床》
2014年第11期1217-1219,共3页
Clinical Medicine of China
关键词
早产儿
喂养不耐受
危险因素
Preterm infants
Feeding intolerance
Risk factors