2小时喂养极低出生早产儿的临床疗效
The Clinic Effect of 2-Hour Feeding in Premature Infants with Very Low Birth Weight
-
摘要: 目的 探讨2 h喂养极低出生早产儿的应用效果.方法 将云南省第三人民医院儿科新生儿室2016年9月至2017年9月出生的极低出生早产儿162例, 随机将81例作为实验组, 采用每2 h喂奶1次, 将81例作为对照组, 采用每3小时喂奶1次.比较2组的应用效果.结果 实验组与对照组在喂养耐受性、生长速率、恢复全胃肠道内喂养时间、静脉高营养液输注天数、肝内胆汁淤积症 (intrahepatic cholestasis disease, ICD) 发生风险、住院天数等方面进行对比, 差异有统计学意义 (P<0.05) .结论 极低出生早产儿采用每2 h喂奶1次, 可有效刺激肠道蠕动, 提高患儿喂养耐受性、加快生长速率、尽快恢复全胃肠道内喂养、降低胆汁淤积发生风险、减少住院天数.Abstract: Objective To study the effect and application of 2-hour feeding in premature infants with very low birth weight.Methods 162 newborn cases with very low birth weight in the pediatrics department, The Third People's Hospital of Yunnan Province in September 2016-September 2017, were randomly divided into two groups:the experimental group with 81 cases (feeding every 2 hours) , and the control group with 81 cases (feeding every three hours) . The application effect was compared in the two groups.Results Comparing the gastrointestinal tract feeding tolerance, growth rate, feeding time, days of intravenous infusion of high nutrient solution, risk of intrahepatic cholestasis disease, and days of hospitalization between the experimental group and the control group, the data had significant differences (P < 0.05) . Conclusion 2-hour feeding in low birth premature infants can effectively stimulate the intestinal peristalsis, improve children's tolerance, speed up the growth rate, resume the gastrointestinal tract feeding as soon as possible, reduce the risk of cholestasis occurs and reduce the number of days in hospital. In clinical work, children's feeding tolerance, gastric retention, and bloating situation should be under strict observation and be delt with in time. These methods are worth promoting in the neonatal wards.
-
Key words:
- 2-hour feeding /
- Very low birth infants /
- Premature infants /
- Effect of feeding
-
[1] [1]BLENCOWE H, COUSENS S, CHOU I, el a1.Born too soon:Ihe global epith-miology ofl5 million preterm births[J].Reprod Health, 2013, 10 (Suppl 1) :52. [2]唐凤姣.不同喂养方式对早产儿生长发育的影响[J].全科护理, 2016, 14 (27) :2870-2871. [3]冯琪.早产儿母乳喂养指导[J].中华全科医师杂志, 2014, 13 (1) :9-11. [4]蔡江云, 刘玉风, 贾雁平.极低出生体重儿及超低出生体重儿宫外发育迟缓相关因素及早期干预的效果[J].河北医学, 2016, 22 (8) :1319-1322. [5]郑祖芬, 梁大康, 刘卫周.早期微量喂养对极低出生体重早产儿营养及并发症的影响[J].内蒙古医学杂志, 2017, 49 (5) :549-550. [6]李秋芳, 王华, 刘丹, 等.早期持续微量配方奶喂养方案在极低体重早产儿肠道营养中的应用[J].中华护理杂志, 2015, 50 (10) :1163-1166. [7]高红云.低出生体重早产儿两种鼻饲喂养方法的临床观察[J].首都食品与医药, 2016, 23 (6) :37-38. [8]李红姣.早产儿喂养不耐受的防治进展[J].内蒙古中医药, 2013, 32 (16) :122-123. [9]刘鹏, 王丽, 张小莉, 等.极低体重儿早期胃肠内喂养方法的改进与观察[J].长治医学院学报, 2015, 29 (5) :382-384. [10]谈笑, 林丽星.肠道微生态制剂预防早产极低出生体重儿NEC的研究进展[J].卫生职业教育, 2014, 32 (20) :156-157. [11] [11]HUANG C C, ORVIS G D, KWAN K M, et al.Lhxl is required in Mtillerian duct epithelium for uterine development[J].Dev Biol, 2014, 389 (2) :124-136. [12] 韩树萍.极低和超低出生体质量儿营养管理策略[J].中华实用儿科临床杂志, 2014, 29 (14) :1044-1048. [13]中国医师协会新生儿专业委员会-营养专家委员会协作组.极低出生体质量早产儿院内营养现状多中心调查[J].临床儿科杂志, 2015, 33 (01) :32-37. [14] 李英.非营养性吸吮对早产儿喂养不耐受的影响[J].医药前沿, 2016, 6 (28) :369-370. [15] 何涓.微量喂养联合非营养性吸吮对早产儿喂养不耐受的影响[J].世界临床医学, 2016, 10 (15) :160-162. [16] 张畋.早产儿喂养不耐受评分表在早产儿喂养不耐受诊断中的应用效果评估[J].中国急救医学, 2017, 37 (22) :120-121. [17]胡琴燕.极低体重儿喂养管理的护理进展[J].全科护理, 2017, 15 (11) :1306-1308. [18] 唐云鹰.极低出生体重儿早期微量喂养进展[J].中外健康文摘, 2013, 14 (01) :87-89. [19]萧慧敏, 陈顺何, 杨秀芬.谷氨酰胺对极低出生体重儿喂养不耐受的预防及对血浆胃动素的影响[J].牡丹江医学院学报, 2014, 35 (04) :71-73. [20]王雪松, 潘家华.深度水解蛋白配方奶在早期早产儿喂养中的疗效观察[J].安徽医药, 2015, 19 (07) :1379-1382. -
点击查看大图
计量
- 文章访问数: 2099
- HTML全文浏览量: 771
- PDF下载量: 43
- 被引次数: 0
下载:
