摘要
目的探讨提高母乳喂养率对极低出生体质量儿近期临床结局产生的影响。方法选择2013年1月—2015年12月在我院出生的270例极低出生体质量儿作为对照组,在出生后次日对其添加肠外静脉营养,并给与配方奶喂养,选择2016年1月—2018年12月在我院出生的290例极低出生体质量儿作为观察组,在出生当日便实施肠外静脉营养,并给予母乳喂养。对比两组生长发育指标、喂养耐受情况以及并发症发生情况。结果两组头围增速、体质量增速、恢复正常出生体质量时间以及身长增速比较差异均无统计学意义(P>0.05);观察组达到全肠道喂养时间、肠外营养支持时间均短于对照组,且观察组平均加奶速度高于对照组,比较差异均有统计学意义(P<0.05);观察组并发症发生率低于对照组,比较差异有统计学意义(P<0.05)。结论提高母乳喂养率能够促使极低出生体质量儿正常发育,改善其喂养耐受情况,并且还能够有效降低支气管肺发育不良、败血症、贫血等并发症发生率,值得推广。
Objective To investigate the effect of increasing breastfeeding rate on the short-term clinical outcome of very low birth weight infants.Methods A total of 270 very low birth weight infants born in our hospital from January 2013 to December 2015 were selected as the control group,and they were given parenteral nutrition and formula milk feeding on the next day after birth 290 very low birth weight infants born in our hospital from January 2016 to December 2018 were selected as the observation group,and they were given parenteral nutrition and breast feeding on the day of birth.The growth and development indexes,feeding tolerance and complications were compared between the two groups.Results There was no significant difference in head circumference growth rate,weight growth rate,time to return to normal birth weight and length growth rate between the two groups,with no statistical significance(P>0.05).The total intestinal feeding time and parenteral nutrition support time of the observation group were lower than those of the control group,and the average milk feeding speed of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was significantly higher than that in the control group,with significant difference(P<0.05).Conclusion Increasing breastfeeding rate can promote the normal development of very low birth weight infants,improve their feeding tolerance,and effectively reduce the incidence of complications such as bronchopulmonary dysplasia,sepsis,anemia,which is worthy of promotion.
作者
张丽
ZHANG Li(Department of Neonatal Pediatrics,Longyan First Affiliated Hospital of Fujian Medical University,Longyan Fujian 364000,China)
出处
《中国卫生标准管理》
2021年第20期1-3,共3页
China Health Standard Management
关键词
母乳喂养
极低出生体质量儿
近期临床结局
生长发育指标
喂养耐受
并发症
breastfeeding
very low birth weight infants
recent clinical outcomes
growth and development indicators
feeding tolerance
complications
