摘要
目的分析早期微量喂养联合非营养性吮吸对窒息后喂养不耐受新生儿的效果。方法选取2017年8月至2019年2月本院收治的窒息后喂养不耐受新生儿60例,随机分成参照组及观察组,各30例。对参照组行非营养性吮吸治疗,观察组施行早期微量喂养联合非营养性吮吸治疗。比较两组新生儿的恢复全量肠内营养、出生体质量所需时间、血清总红胆素水平及并发症情况。结果治疗后,观察组新生儿恢复全量肠内营养、出生体质量所需时间短于参照组,差异有统计学意义(P<0.05);观察组的白蛋白水平高于参照组,总胆红素水平低于参照组,差异有统计学意义(P<0.05);观察组的并发症发生率为6.67%,低于参照组的10.00%,但差异无统计学意义。结论对窒息后喂养不耐受新生儿应用早期微量喂养联合非营养性吮吸治疗干预措施,可缩短其全量肠内营养及出生体质量恢复时间,改善血清总胆红素水平,且治疗安全性较高。
Objective To analyze the effect of early micro-feeding combined with non-nutritive sucking on neonates with feeding intolerance af ter asphyxia.Methods 60 neonates with feeding intolerance after asphyxia were randomly divided into control group and observation group from August 2017 to February 2019,with 30 cases in each group.The control group was treated with non-nutritive sucking,while the observation group was treated with early micro-feeding combined with non-nutritive sucking.The recovery time of total enteral nutrition,birth weight,serum total bili rubin level and complications of the two groups were compared.Results After treatment,the recovery time of total enteral nutrition and birth weight of newborns in the observation group was shorter than that in the control group,and the difference was significant(P<0.05);The albumin level in the observation group was higher than that in the control group,and the total bilirubin level was lower than that in the control group,the dif ference was significant(P<0.05);the complication rate in the observation group was 6.67%,lower than that in the control group(10.00%),but there was no significant difference between two groups.Conclusion Early micro-feeding combined with non-nutritive sucking therapy can shorten the total enteral nutrition and recovery time of birth weight,improve the serum total bilirubin level of neonates with feeding intolerance after asphyx ia,and has a high therapeutic safety.
作者
朱林梦
Zhu Linmeng(Department of NICU,Shenyang Children's Hospital,Shenyang,Liaoning,110032,China)
出处
《当代医学》
2020年第7期76-78,共3页
Contemporary Medicine
关键词
窒息
喂养不耐受
新生儿
非营养性吮吸
早期微量喂养
临床疗效
Asphyxia
Feeding intolerance
Neonates
Non-nutritive sucking
Early micro-feeding
Clinical efficacy
