摘要
目的通过对极低出生体质量儿进行初乳口腔涂抹,探讨不同持续时间对患儿喂养状况的影响。方法选取2017年1月1日-2019年12月31日该院早产儿病房收治的极低出生体质量儿90例,根据家属是否能提供亲母初乳,将患儿分为对照组和观察组,再采用随机数字表法将观察组患儿分为观察1组和观察2组,每组各30例。对照组按早产儿常规护理;观察1组在早产儿常规护理的基础上采用亲母冷藏初乳进行口腔涂抹,1次/3 h,0.2 ml/次,持续7 d;观察2组在早产儿常规护理的基础上采用亲母冷藏初乳进行口腔涂抹,1次/3 h,0.2 ml/次,持续至患儿开始经口喂养。对比观察3组患儿开始肠内营养、开始经口喂养、达全胃肠道营养的胎龄、喂养中断的例数及原因。结果与对照组相比,观察1组、观察2组开始肠内营养、开始经口喂养、达全肠内营养的胎龄均显著提前(P<0.05);且观察2组开始肠内营养、开始经口喂养、达全肠内营养的胎龄均小于观察1组(P<0.05)。观察1组、观察2组喂养中断的例数分别为20例(66.67%)、17例(56.67%),均较对照组26例(86.67%)明显减少(P<0.05)。结论初乳口腔涂抹持续7 d或持续至患儿开始经口喂养均可有效减少喂养中断的发生,促进早产儿的喂养进程,且后者效果优于前者,值得在临床选择使用。
Objective To evaluate the effects of colostrum oropharyngeal administration duration on feeding status of very low birth weight(VLBW)infants.Methods Ninety cases of very low birth weight infants admitted to the hospital’s premature infant ward from January 1,2017 to December 31,2019 were selected.According to whether their families can provide mother colostrum,the children were divided into two groups:the control group and the observation group.Then,the random number table method was used to divide the observation group of children into the first observation group(30 cases)and the second observation group(30 cases).The control group was given routine nursing care for premature infants.The first observation group received colostrum oropharyngeal administration of 0.2 ml of their mothers’colostrum every 3 hours during 7 days;The second observation group received colostrum oropharyngeal administration of 0.2 ml of their mothers’colostrum every 3 hours until children started oral feeding.The comparison includes the gestational age at which enteral nutrition was started,the gestational age at which oral feeding was started,the gestational age at which total gastrointestinal nutrition was reached,and the number and reasons of feeding interruption.Results The gestational age at which enternal nutrition was started,the gestational age at which oral feeding was started,and the gestational age at which total gastrointestinal nutrition was reached were signally earlier in the first observation group and the second observation group than in the control group(P<0.05);and the gestational age at the start of enteral nutrition,the gestational age at the start of oral feeding,and the gestational age at which total gastrointestinal nutrition was reached in the second observation group were smaller than those in the first observation group(P<0.05).The number of feeding interruptions in the first observation group and the second observation group was 20 cases(66.67%)and 17 cases(56.67%),respectively,which were significantly re
作者
涂满梅
王丽丽
李翠
余英
TU Man-Mei;WANG Li-Li;LI Cui(Premature Infant Ward,Jiangxi Provincial Children's Hospital,Nanchang,Jiangxi 330006,China)
出处
《中国妇幼保健》
CAS
2021年第17期3975-3978,共4页
Maternal and Child Health Care of China
基金
江西省卫生计生委科技计划项目(20185452)。
关键词
极低出生体质量儿
初乳
口腔涂抹
Very low birth weight infants
Colostrum
Oropharyngeal administration
