摘要
目的探讨早期间歇持续微量喂养在早产低出生体质量儿(VLBMI)护理中的应用效果。方法选取84例VLBMI患儿采用随机字母表法分为对照组和观察组,各42例。对照组在出生24 h后行临床常规胃管喂养,观察组在出生24 h内行间歇持续微量喂养,对比2组患儿不耐受情况、体质量变化情况、达到完全肠道喂养所需时间、吸吮吞咽功能建立时间、黄疸消退时间以及住院时间。结果观察组患儿喂养不耐受发生率为7.14%,低于对照组的30.95%(P<0.05);观察组患儿每日体质量增长量、达到完全肠道喂养所需时间、吸吮吞咽功能建立时间、黄疸消退时间、平均住院时间均优于对照组(P<0.05)。结论在VLBMI患儿的临床治疗护理过程中实施早期间歇持续微量喂养,可有效改善患儿不耐受情况,促进体质量增长和肠道功能恢复,缩短住院时间。
Objective To study the effect of early intermittent and continuous micro-feeding in nursing of premature low birth weight infants （VLBMI）. Methods A total of 84 children with VLBMI were divided into control group and observation group. The children in the control group were treated with routine gastric tube feeding within 24 hours of birth and the children in the observation group were given intermittent micro-feeding within 24 hours. The intolerance and body weight of the two groups were observed and compared. The time of total intestinal feeding, the time to establish swallowing function, the time of jaundice subsided, and the average length of stay in children were compared. Results The incidence of intolerance in the observation group was lower than that in the control group（7. 14% vs. 30.95%, P 〈 0.05）. Observation group had significantly better daily body mass growth, time of complete intestinal feeding, the time to establish swallowing function, jaundice subsided time, average length of hospital stay than the control group （ P 〈 0.05 ）. Conclu- sion Early intermittent continuous micro-feeding for VLBMI children can effectively improve the ehild’s intolerance, promote the growth of children＇s body weight and the recovery of intestinal function, shorten the length of stay.
作者
白雪
王娟
范文娟
BAI Xue WANG Juan FAN Wenjuan(Department of Pediatrics, Yan’an People＇s Hospital of Shaanxi Province, Yah＇an, Shaanxi, 716000)
出处
《实用临床医药杂志》
CAS
2017年第18期97-99,共3页
Journal of Clinical Medicine in Practice
基金
陕西省科技攻关项目(2014K16-401)
关键词
早产
低出生体质量儿
间歇持续微量喂养
喂养不耐受
premature delivery
low birth weight infants
intermittent continuous microfeeding
feeding intolerance
