摘要
目的评价不同喂养方法对早产低出生体重儿早期喂养的效果，探讨适宜的喂养策略及护理措施。方法选择早产低出生体重儿120例，随机分为微量喂养和抚触组（n=40）、微量喂养组（n=40）及对照组（／／,=40），分别给予不同的喂养方法，比较3组喂养效果。结果微量喂养和抚触组患儿每日摄入奶量、恢复出生体重的日龄、每日体重增长、停止应用胃肠外营养的日龄、达到足量胃肠道喂养的时问、住院时间、每日大便次数及喂养不耐受发生率分别为（93．5±32．1）ml／（kg·d），（3．9±2．3）d，（19．1±6．4）g／d，（10．1±3．2）d，（18．2±4．3）d，（22．5±5．8）d，（1．0±0．3）次／d，17．5％，均优于微量喂养组和对照组，3组间比较差异均有统计学意义（F／X。分别为20．21，11．19，20．32，19．81，11．65，7．66，21．82，20．55；P〈0．01）；上述8个指标中，微量喂养和抚触组中各指标除住院时间外均优于微量喂养组，微量喂养组各指标除喂养不耐受率外均优于对照组，差异均有统计学意义（P〈0．05）。结论抚触配合早期微量喂养能促进早产低出生体重儿胃肠道功能，改善胃肠动力。
Objective To evaluate the effect of different feeding methods on premature infants with low birth weight, and to explore appropriate feeding strategies and nursing measures. Methods Totals of 120premature infants with low birth weight were randomly divided into the group of microdosis feeding with touching, the group of microdosis feeding and the control group, each with 40 cases, and their effects were compared. Results The indexes of daily milk taking, regaining birth weight, daily weight growing, parental nutrition（PN） time, reaching full eternal nutrition （FEN） time, hospitalization time, daily stool, defecating frequency and the incidence of feeding intolerance in the group of microdosis feeding with touching, the group of microdosis feeding and the control group were respectively （93.5 ± 32. 1 ） ml/kg/d, （ 3.9 ± 2.3 ） d, （ 19.1 ± 6.4） g/d, （ 10.1 ± 3.2） d,（18.2±4.3）d,（22.5±5.8）d,（1.0±0.3）times/d,17.5%,（78.6±23.4） ml/kg/d,（5.8 ±3.5） d,（15.3 ±5.3）g/d,（13.7 ±5.1）d,（21.4 ±6.4）d,（25.3 ±7.2）d,（0.8 ±0.3）times/d,47.5% and （56.8 ±221.1）ml/kg/d,（7.7 ±4.6）d,（11.4±4.3）g/d, （17.3±6.5）d, （24.9±7.5）d, （28.9 ±8.7）d, （0.6 ± 0.2）times/d,67.5% ,all of which among three groups had significant difference （F/X2 = 20.21,11.19, 20.32,19.81,11.65,7.66,21.82,20.55, respectively; P 〈 0.01 ）. All indexes in the group of microdosis feeding with touching were better than those in the group of mlerodosis feeding, except for hospitalization time and those in the group of microdosis feeding were better than the control group, except for the incidence of feeding intolerance （ P 〈 0.05 ）. Conclusions Microdosis feeding combined with touching can promote the development gastrointestinal tract and improve gastro intestinal naotility of premature infants with low birth weight.
出处
《中华现代护理杂志》
2013年第11期1289-1291,共3页
Chinese Journal of Modern Nursing
关键词
早产
护理
婴儿
低出生体重
微量喂养
抚触
Premature
Nursing
Infant,low birth weight
Microdosis feeding
Touching
