摘要
目的观察不同喂养方式结合非营养性吸吮对危重早产儿喂养情况的影响。方法选择我院2015年1月至2017年10月收治的94例危重早产儿,将其随机分为对照组与观察组,每组47例。两组患儿均接受非营养性吸吮,在此基础上,观察组给予早期微量喂养,而对照组则应用传统的常规喂养方法。观察两组患儿的喂养情况、胃动素、胃泌素水平、黄疸及喂养不耐受发生率,并记录两组患儿出生后90 d的生长发育情况。结果观察组患儿达到全肠道喂养时间、静脉营养时间、胎便排泄完时间均短于对照组(P<0.05);两组患儿2周内每日体重增长量无显著差异(P>0.05)。喂养第7、14天,两组患者的胃动素、胃泌素水平均升高,且观察组均高于对照组(P<0.05)。观察组患儿黄疸、喂养不耐受总发生率分别为6.38%、8.51%,均低于对照组的21.28%、23.40%,差异有统计学意义(P<0.05)。出生后90 d,观察组患儿的体重、身长、头围均显著优于对照组(P<0.05)。结论早期微量喂养配合非营养性吸吮可提高危重早产儿的喂养耐受程度,加快喂养进程并促进其胃肠功能完善,有利于早产儿生长发育,值得临床推广应用。
Objective To explore the effect of different feeding methods combined with non-nutritive sucking on feedingstatus of critically ill preterm infants. Methods A total of 94 critical ill preterm infants admitted in our hospital from January2015 to October 2017 were randomly divided into control group and observation group, with 47 cases in each group. Bothgroups received non-nutritive sucking. On this basis, the observation group was given early minimal feeding, while thecontrol group was given traditional routine feeding method. The feeding status, levels of motilin and gastrin, incidences ofjaundice and feeding intolerance of the two groups were observed, and the growth and development status of the two groups at90 d after birth were recorded. Results The time of total bowel feeding, the time of intravenous nutrition and the time ofcomplete meconium excretion in the observation group were shorter than those of the control group, the differences werestatistically significant （P〈0.05）. There was no significant difference in daily weight gain between the two groups in 2 weeks（P〉0.05）. On the 7th and 14th d, the levels of motilin and gastrin in the two groups increased, and those in the observationgroup were higher than the control group （P〈0.05）. The incidences of jaundice and feeding intolerance in the observationgroup were 6.38% and 8.51% respectively, which were lower than 21.28% and 23.40% of the control group, the differenceswere statistically significant（P〈0.05）. At 90 d after birth, the body weight, the body lengths and the head circumference of theobservation group were significantly better than those of the control group, the differences were statistically significant （P〈0.05）. Conclusion Early micro-feeding combined with non-nutritive sucking can improve the feeding tolerance of criticallyill premature infants, speed up the feeding process and promote the improvement of gastrointestinal function, which isbeneficial to the growth and development of premature infants, and it is w
作者
云忠明
YUN Zhong-ming(Neonatal Department,the Hospital of Shenmu City,Yulin 719300,China)
出处
《临床医学研究与实践》
2018年第33期141-143,共3页
Clinical Research and Practice
关键词
微量喂养
非营养性吸吮
危重早产儿
micro-feeding
non-nutritive sucking
critical preterm infants
