摘要
目的探讨早产儿补钾时机的选择及母乳喂养不足的原因。方法选取福州市第一医院2022年1—12月收治的110例患儿作为研究对象,随机分为早期补钾组(n=65)与晚期补钾组(n=45)。早期补钾组在患儿出生后的第3天及第7天开始经静脉补充生理需要量的钾1.5 mmol/(kg·d),晚期补钾组在患儿出生后的第7天开始经静脉补充生理需要量的钾1.5 mmol/(kg·d)。两组患儿在出生后的第1、3、7、14天分别抽血检查生化水平。同时对患儿的母亲进行问卷调查,分析母乳喂养不足的原因。结果早期补钾组的完全胃肠道营养时间、呕吐、腹胀消失时间、住院天数等均明显低于晚期补钾组;早期补钾组进奶量、每日大便次数等均明显高于晚期补钾组,两组比较差异有统计学意义(P<0.05)。早期补钾组的总有效率为95.39%,晚期补钾组为82.22%,组间差异有统计学意义(P<0.05)。早期补钾组在出生第3天后的血钾水平明显高于晚期补钾组,组间差异有统计学意义(P<0.05);第7天早、晚期补钾组发生低血钾的分别为5例(7.69%)和18例(40.00%),组间差异有统计学意义(P<0.05);第14天早、晚期补钾组发生低血钾的分别为1例(占比1.54%)和2例(4.44%),组间差异无统计学意义(P>0.05);早、晚期补钾组在第7天和第14天高血钾的发生率比较,组间差异无统计学意义(P>0.05)。结论喂养不耐受早产儿有必要在早期对患儿进行补充生理需要的钾,这样可有效预防早产儿低钾血症的发生。通过对影响产妇喂养不足的原因进行分析,可有效改善产妇喂养不足的情况,提高产妇母乳喂养率。
Objective To explore the timing of potassium supplementation in premature infants and the reasons for insufficient breastfeeding.Methods A total of 110 children admitted to Fuzhou First Hospital from January to December,2022 were selected as the research objects and randomly divided into early potassium supplementation group(n=65)and late potassium supplementation group(n=45).The early potassium supplementation group received intravenous potassium supplementation of 1.5 mmol/(kg·d)starting from the 3^(rd)and 7^(th)day after birth,while the late potassium supplementation group received intravenous potassium supplementation of 1.5 mmol/(kg·d)starting from the 7^(th)day after birth,Blood samples were taken from two groups of children on the 1^(st),3^(rd),7^(th),and 14^(th)day after birth for biochemical monitoring of blood potassium levels.At the same time,a questionnaire survey was conducted on the mother of the child to analyze the reasons for insufficient breastfeeding.Results The time for complete gastrointestinal nutrition,vomiting,disappearance of abdominal distension,and hospitalization days in the early potassium supplementation group were significantly lower than those in the late potassium supplementation group.The milk intake and daily bowel movements were significantly higher than those of the late potassium supplementation group,and there was a statistically significant difference between the two groups(P<0.05).The total effective rate of the early potassium supplementation group was 95.39%,while the late potassium supplementation group was 82.22%.There was a statistically significant difference between the groups(P<0.05).The blood potassium levels in the early potassium supplementation group were significantly higher than those in the late potassium supplementation group on the third day of birth,and there was a statistically significant difference between the groups(P<0.05).On the 7^(th)day,there were 5 cases(7.69%)and 18 cases(40.00%)of hypokalemia in the early and late potassium supplementation gr
作者
鄢晓宁
刘凡
黄青兰
陈俊
YAN Xiaoning;LIU Fan;HUANG Qinglan;CHEN Jun(Department of Pediatrics,Fuzhou First Hospital,Fuzhou Fujian 350000,China)
出处
《中国卫生标准管理》
2023年第19期25-28,共4页
China Health Standard Management
关键词
早产儿
母乳喂养
高钾血症
低钾血症
补钾时机
选择
premature infants
breast-feeding
hyperkalemia
hypokalemia
timing of potassium supplementation
select
