早期喂养干预预防极低出生体重儿喂养不耐受临床探讨

    Clinical study of prevention of feeding intolerance for very low birth weigh infants by the early feeding

    • 摘要: 目的:探讨早期微量喂养与非营养性吸允预防极低出生体重儿(very low birth weigh infants,VLBWI)喂养不耐受的效果及其临床意义。方法:将69例VLBWI随机分为对照组39例,按照传统方法喂养;治疗组30例,给予早期微量喂养与非营养性吸允,记录恢复至出生体重时间,达到全肠道喂养时间,胎粪排空时间和发生喂养不耐受的例数。结果:治疗组在恢复至出生体重时间、达到全肠道喂养时间和胎粪排空时间均较对照组缩短(P0.01),喂养不耐受的发生率降低(P0.05)。结论:早期喂养干预可促进VLBWI肠道发育成熟,减低可能发生的喂养问题,改善患儿营养状况。

       

      Abstract: Objective: To investigate the effects and clinical significance of early minimal feeding and non-nutritive sucking for very low birth weight infants(VLBWI) to prevent. feeding intolerance. Methods: Sixty-nine cases of VLBWI were randomly divided into treatment group(30 cases) ,who were given early minimal feeding and non-nutritive sucking, and control group(39 cases) ,who were given the traditional method to feed. The time of recovering to birth weight, reaching whole enteral feeding and meconium emptying, and the number of cases of feeding intolerance were recorded. Results: In treatment group, the time of recovering birth weight, reaching whole enteral feeding and meconium emptying were shorter and the rates of feeding intolerance were lower than control group(P < 0. 05 to P < 0. 01) . Conclusions: Early feeding intervention can promote intestinal mature, reduce the feeding problems,and improve the nutritional status of very low birth weight infants.

       

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