摘要
目的探讨俯卧位联合抚触干预对早产低体重儿喂养不耐受的影响。方法选取2016年3月~2019年5月我院收治的200例早产低体重患儿作为研究对象,按照随机数字表法将其分为对照组和观察组,每组各100例。对照组采取常规护理,观察组实施俯卧位联合抚触干预。比较两组的喂养不耐受持续时间、恢复出生体重所需时间、达到足量胃肠喂养时间,腹胀、呕吐以及胃潴留等症状消失时间。记录两组的生长发育以及并发症发生情况。结果观察组喂养不耐受持续时间、恢复出生体重所需时间以及达到足量胃肠喂养时间为(6.53±1.24)、(13.11±2.34)、(12.58±2.28)d,均短于对照组的(8.56±1.13)、(14.22±2.19)、(18.67±3.54)d,差异有统计学意义(P<0.05)。观察组腹胀、呕吐以及胃潴留消失时间为(3.75±1.46)、(4.13±1.01)、(4.38±1.19)d,短于对照组的(5.63±2.27)、(4.74±1.43)、(6.89±2.56)d,差异有统计学意义(P<0.05)。干预后观察组的体重为(2583.33±201.42)g,高于对照组的(2372.52±284.32)g,差异有统计学意义(P<0.05)。干预后,观察组的身长以及头围为(47.53±2.94)、(32.94±2.75)c m,均长于对照组的(45.73±2.56)、(31.34±1.73)cm,差异有统计学意义(P<0.05)。观察组的并发症总发生率为9.00%,低于对照组的21.00%,差异有统计学意义(P<0.05)。结论俯卧位联合抚触干预能够改善早产低体重儿喂养不耐受情况,可有效促进患儿生长发育,降低并发症发生率,具有推广价值。
Objective To investigate the effect of prone position combined with touch intervention on feeding intolerance in premature low birth weight infants.Methods A total of 200 children with premature low birth weight who were admitted to our hospital from March 2016 to May 2019 were selected as subjects,they were divided into control group and observation group according to the random number table method,with 100 cases in each group.The control group received routine care,and the observation group performed a prone position combined with touch intervention.The duration of feeding intolerance,the time required to restore birth weight,the time of adequate gastrointestinal feeding,the time of bloating,vomiting and gastric retention disappeared were compared.The growth and development of the two groups and the incidence of complications were recorded.Results The duration of feeding intolerance,the time required to restore birth weight,and the time to achieve adequate gastrointestinal feeding were(6.53±1.24),(13.11±2.34),and(12.58±2.28)d,both shorter than the(8.56±1.13),(14.22±2.19),(18.67±3.54)d in the control group,the differences were statistically significant(P<0.05).The disappearance time of bloating,vomiting and gastric retention in the observation group was(3.75±1.46),(4.13±1.01),(4.38±1.19)d,which were shorter than the(5.63±2.27),(4.74±1.43),(6.89±2.56)d in the control group,the differences were statistically significant(P<0.05).After intervention,the weight of the observation group was(2583.33±201.42)g,which was higher than that of the control group for(2372.52±284.32)g,and the difference was statistically significant(P<0.05).After intervention,the body lengthand head circumference of the observation group were(47.53±2.94)and(32.94±2.75)cm,which were longer than the(45.73±2.56)and(31.34±1.73)cm in the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 9.00%,which was lower than the 21.00%in the control group,and t
作者
赵晓燕
ZHAO Xiao-yan(Department of Neonatology,Women and Child Health Care Hospital,Women and Children′s Hospital Affiliated to Xiamen University,Fujian Province,Xiamen361003,China)
出处
《中国当代医药》
2020年第3期203-206,共4页
China Modern Medicine
基金
福建省厦门市科技惠民项目（3502Z20174022）
关键词
俯卧位
抚触
早产低体重儿
喂养不耐受
生长发育
Prone position
Touch
Premature low birth weight infant
Feeding intolerance
Growth and development
