摘要
目的:探讨两种不同的喂养方式与危重新生儿胃肠损害的关系。方法:将48例危重新生儿随机分为微量喂养组和按需喂养组,其中早产儿18例,足月儿30例,所有新生儿入院后6～8小时开始喂奶,同时给于非营养性吸吮,微量喂养组开始给于2∶1配方奶(0.1～4.0ml/kg.d),2～3小时一次,按需喂养组同样用2∶1配方奶,开始5～15ml/kg.d,以后根据需要每天每次增加3～15ml,48～72小时后过渡到全奶,比较两组胃肠损害情况。结果:无论是早产儿还是足月儿,按需喂养组胃肠功能损害的发生率明显高于微量喂养组(P<0.05);早产儿胃肠功能损害明显高于足月儿(P<0.05)。结论:危重新生儿生后应给于微量喂养,不宜按需喂养,开始给于2∶1配方奶,渐渐过渡到全奶,避免胃肠功能损害的发生。
Objective： To investigate the relationship between the two different feeding and the occurrence of gastrointestinal injury of the critically ill neonates. Methods： Totally 48 critically ill neonates hospitalized in our department between 2006.2-2008.11 were divided into two groups ：the micrododisis group and the required feeding group （the premature infant 18. the normal term infant 30）. all neonates started to be fed 6-8 hours later after birth following different ways of feeding volume （start from 5-15ml/kg.d was compared with two feeding lower in the neonates gastrointestinal damage ： either feeding in mierodosis （0.1--4ml/kg, d） or feeding according to the required then added 3~15ml/kg per time per day）. the incidence of the gastrointestinal damage methods. Results： The incidence of the gastrointestinal damage was significantly of microdosis group than the required feeding group （P〈0.05）; the incidence of the was significantly higher in the premature infant group the nomal term infant group （P〈0.05）. Conclusion： To reduce the incidence of the gastrointestinal damage, the critically ill according to the required volume early after birth, it will suggested that the feeding neonates should not be fed should be started to use a microdosis manner using 2：1 diluted milk. followed by a slowly manner to increase the volume till the whole milk.
出处
《安徽卫生职业技术学院学报》
2009年第4期15-16,共2页
Journal of Anhui Health Vocational & Technical College
关键词
危重新生儿
喂养
胃肠损害
critically ill neonates
feeding
gastrointestinal damage
