摘要
目的探讨母乳库的建立对住院早产儿的影响。方法选取2017年2月至2018年1月在NICU住院治疗的239例早产儿为研究对象，母乳库建立之前人院早产儿为对照组（113例），母乳库建立之后人院早产儿为观察组（126例），两组均按早产儿诊疗常规给予相应综合治疗，并根据患儿家属意愿给予喂养自体母乳或捐赠母乳或早产儿配方奶。结果观察组母乳喂养率为67．5％（85／126）、平均住院时间（24．5±4．4）d，对照组分别为34．5％（39／113）、（36．3±8．3）d，并发症发生比较，观察组新生儿坏死性小肠结肠炎5例，支气管肺发育不良3例，早产儿视网膜病变5例，败血症6例，对照组分别为12例、7例、9例、15例，观察组在母乳喂养率上有了显著提高（r=4．217，P〈0．05），而且住院时间短（t=2．941，P〈0．05），较少并发新生儿坏死性小肠结肠炎、败血症（X^2=3．989，5．386，P〈0．95），差异具有统计学意义。结论母乳库的建立有利于提高早产儿的母乳喂养率，缩短住院时间，减少新生儿坏死性小肠结肠炎、败血症的发生，使早产儿尽快恢复。
Objective To discuss the influences of the establishment of breast milk bank to the premature infants in the hospital. Methods The clinical datas of 239 premature infants admitted in NICU from Feb 2017 to Jan 2018 were retrospectively analyzed. Dividing them into two groups, one was control group that the premature infants born before the establishment of breast milk bank, the other was observation group that the premature infants born after that. Both groups were taken the same treatment; and fed the autogenous breast milk or donated breast milk or premature milk based on the intention of infant＇s family. Results In observation group,the breastfeeding rate was 67.5% （85/126）,the average hospital-stay time was （24.5±4.4） days.But in control group, the breastfeeding rate was 34.5% （39/113）,the average hospital-stay time was （36.3±8.3） days, there were significant differences between the two groups （X^2=4.217, t=2.941, P〈0.05 ）.The complications in observation group included necrotizing enterocolitis （5 cases）,bronchopulmonary dysplasia（3 cases）, retinopathy of prematurity （5 cases） and sepsis （6 cases）, the incidence of which was lower than that in control group. But, there was statistical significance in the incidence of necrotizing enterocolitis and sepsis only （X^2=3.989, 5.386, P〈0.05）. Conclusions The establishment of breast milk bank can help to improve the breastfeeding rate of premature infants,shorten the hospital-stay time,reduce the incidence of NEC and sepsis,make premature infants recover more quickly.
作者
陈丽珠
张美莉
庄坤英
Chen Lizhu;Zhang Meili;Zhuang Kunying(Department of Neonatal Intensive Care Unit,Quanzhou Woman＇s and Children＇s Hospital,Quanzhou 362000,Chin)
出处
《中国实用护理杂志》
2018年第23期1792-1795,共4页
Chinese Journal of Practical Nursing
关键词
重症监护病房
婴儿
早产
母乳库
母乳喂养
Intensive care units
Infant
premature
Breast milk bank
Breast feeding
