摘要
目的探讨新型护理干预对早产低出生体重儿喂养不耐受的影响。方法将78例适于胎龄的早产低体重儿分为两组各39例,对照组在常规治疗和静脉营养的基础上采用传统的护理方法,试验组在常规治疗和静脉营养基础上给予非营养性吸吮、微量泵间断胃管喂养、喂养后俯卧位及腹部抚触的措施,并贯穿在早产儿的日常护理中。观察两组喂养不耐受情况及呕吐、腹胀、胃残留发生情况,记录鼻胃管留置时间、恢复出生体质量时间及到达全肠道营养时间等。结果试验组患儿喂养不耐受发生率显著低于对照组(P<0.05);试验组患儿达到全肠道营养时间、恢复出生体质量时间、鼻胃管留置时间、第1次排黄便时间均较对照组显著缩短(P<0.05);试验组喂养出现腹胀、胃残留均显著少于对照组(P<0.05)。结论早产低体重儿喂养时给予新型护理干预能促进胃肠道功能的成熟,提高经肠道喂养的耐受性,有效减少喂养不耐受的发生。
Objective To explore the effect of new nursing intervention on premature and low birth weight infants with feeding intolerance. Methods 78 premature and low birth weight infants （appropriate-for-gestational-age） were divided into two groups, with 39 cases in each group. On the basis of routine therapy and parenteral nutrition, the control group received the routine nursing, while the experimental group received the nursing intervention （non-nutritive sucking, intermittent nasogastric feeding by micro pump, prone position after feeding, and abdominal touch） during daily care. The incidences of feeding intolerance, vomiting, abdominal distention, gastric residuals were observed, and the time of nasogastric tube indwelling, the time to regain birth weight and the time to reach full enteral nutrition were recorded. Results The incidence of feeding intolerance of experimental group was significantly lower than that of control group;The time to reach full enteral nutrition, the time to regain birth weight, time of nasogastric tube indwelling, and the time of first yellow defecation of experimental group were significantly shorter than those of control group; The incidences of abdominal distention, gastric residuals of experimental group was significantly lower than those of control group （all P〈0.05）. Conclusions New nursing intervention of premature and low birth weight infants during the feeding can promote the maturity of gastroenteric function, improve the tolerance of intestinal feeding, and reduce the incidence of feeding intolerance.
出处
《临床医学工程》
2014年第6期771-772,共2页
Clinical Medicine & Engineering
基金
肇庆市科技创新计划项目(项目编号:2013E145)
关键词
早产
低出生体重儿
喂养
护理干预
Premature
Low birth weight infants
Feeding
Nursing intervention
