摘要
目的观察早期持续微量喂养与常规间歇喂养在低出生体重儿中的效果。方法 2014年8月至2015年8月郑州市儿童医院新生儿重症监护室收治低出生体重儿124例,随机分为观察组和对照组各62例。对照组给予常规间歇喂养,观察组采用早期持续微量喂养。观察两组患儿治疗前后体质量变化和血清胃泌素变化情况;观察两组患儿体质量开始增长时间、自行吮吸时间、黄疸消退时间和喂养并发症发生情况。结果观察组干预后体质量为(1 673.54±154.27)g,胃泌素(124.82±14.28)ng/L,显著高于对照组干预后体质量(1 395.77±102.54)g,胃泌素(98.79±6.88)ng/L,差异有统计学意义(P<0.05)。观察组体质量开始增长时间、自行吮吸时间、黄疸消退时间、喂养并发症发生率均优于对照组,差异有统计学意义(P<0.05)。结论采用早期持续微量喂养应用在低出生体重儿中能够提高喂养耐受性,促进胃肠道组织成熟,增长体质量快,缩短黄疸持续时间,值得在临床上推广应用。
Objective To observe the effect of early continuous microfeeding and routine intermittent feeding in low-birth-weight infants. Methods From August 2014 to August 2015, in Zhengzhou Children＇s Hospital Neonatal Intensive Care Unit, 124 cases of low-birth-weight infants were randomly divided into ob- servation group and control group, each with 62 cases. The control group was given routine intermittent feeding, and the observation group was treated with early continuous microfeeding. The changes of body mass and serum gastrin were observed before and after treatment in two groups. The time for body mass to begin to increase, the time of self sucking, the regression time of jaundice and the incidence of feeding com- plications were also observed. Results In observation group the body mass after intervention was （1 673.54 ± 154.27） g and gastrin was （ 124.82 ±14.28） ng/L, significantly higher than the control group, whose body mass was （1 395.77±102.54）g and gastrin was （98.79±6.88）ng/L, the difference being of statistical significance（P〈0.05）. The time for body mass to begin to increase self sucking time, jaundice subsiding time and feeding complication rate in the observation group were better than those of the control group, the difference being statistically significant（P^0. 05）. Conclusion The early microfeeding in low- birth-weight infants can improve the feeding tolerance, promote the maturation of the gastrointestinal tract, increase body weight rapidly, and shorten the duration of jaundice, which is worthy of being popularized in clinics.
出处
《中国中西医结合儿科学》
2016年第3期316-318,共3页
Chinese Pediatrics of Integrated Traditional and Western Medicine
关键词
低出生体重儿
早期
持续微量喂养
间断喂养
营养状况
Low-birth-weight infant
Early stage
Continuous microfeeding
Intermittent feed- ing
Nutritional status
