摘要
目的分析强化母乳喂养对住院早产超低和极低出生体质量儿生长发育和内环境的影响。方法随机抽取2017年6月-2018年5月秦皇岛市妇幼保健院的早产超低和极低出生体质量儿共134例,根据治疗时间的先后顺序,分为对照组与观察组,每组各67例。两组早产儿均采取常规措施,对照组早产儿采用配方奶粉进行营养补充,观察组早产儿采用强化母乳喂养方式。观察两组早产儿身高、体质量、头围,血清钙、磷、血红蛋白、碱性磷酸酶(AKP)水平,并发症发生率。结果两组早产儿平均日增长体质量、平均周增长身高、最低体质量出现时间、恢复出生体质量时间比较差异均有统计学意义(均P<0.05)。两组早产儿平均周增长头围比较差异无统计学意义(P>0.05)。两组早产儿出院前血清AKP水平比较差异有统计学意义(P<0.05)。两组早产儿喂养不耐受、败血症、支气管肺发育不良发生率比较差异均有统计学意义(均P<0.05)。结论强化母乳喂养可以显著降低住院早产超低和极低出生体质量儿在治疗护理过程中的并发症发生率,帮助早产儿达到正常的生长发育水平,临床效果显著。
Objective To analyze the effect of intensive breastfeeding on growth,development and internal environment of extremely low birth weight and very low birth weight infants in hospital.Methods A total of 134 extremely low birth weight and very low birth weight infants were randomly selected from Qinhuangdao Municipal Maternal and Child Health Care Hospital from June 2017 to May 2018,then they were divided into control group and observation group according to the treatment time,67 infants in each group.The infants in the two groups were treated by routine measures,then the infants in control group were given formula milk powder,and the infants in observation group were given intensive breast milk.The observation indexes included height,weight,head circumference,serum calcium,phosphorus,hemoglobin,alkaline phosphatase(AKP)levels,and incidence rate of complications.Results There were statistically significant differences in average daily increase of weight,average weekly increase of height,the onset time of the lowest weight,the time of recovery of birth weight between the two groups(P<0.05).There was no statistically significant difference in average weekly increase of head circumference between the two groups(P>0.05).There was statistically significant difference in serum AKP level before leaving the hospital between the two groups(P<0.05).There were statistically significant differences in the incidence rates of feeding intolerance,septicemia,and bronchopulmonary dysplasia between the two groups(P<0.05).Conclusion Intensive breastfeeding can significantly reduce the incidence rate of complications in treatment and nursing of extremely low birth weight and very low birth weight infants in hospital,help the premature infants to achieve normal growth and development level,the clinical effect is significant.
作者
陈宁
CHEN Ning(NICU,Qinhuangdao Municipal Maternal and Child Health Care Hospital,Qinhuangdao,Hebei 066000,China)
出处
《中国妇幼保健》
CAS
2020年第2期256-258,共3页
Maternal and Child Health Care of China
基金
秦皇岛市科学技术研究与发展计划(201602A107)
关键词
强化母乳喂养
早产儿
超低和极低出生体质量儿
生长发育
Intensive breastfeeding
Premature infants
Extremely low birth weight and very low birth weight infants
Growth and development
