CAJ | 학술논문

目的探讨两种喂养方式对极低出生体重儿(VLBWI)生长发育及喂养并发症的影响. 方法将76例VLBWI患儿随机分成2组,A组:36例早期经口微量喂养组;B组:40例早期予以胃管喂养组.比较两组喂养不耐受发生情况、恢复出生体重时间、迭全口喂养时间、平均日增长克数、黄疸持续时间、胎粪完全排出时间、住院天数及并发症等. 结果与B组比较,A组达全口喂养时间、黄疸持续时间、胎粪完全排出时间、住院天数均明显缩短,喂养不耐受率及并发症发生率低,平均日增长克数增加,差异有统计学意义(P<0.05或<0.01).恢复出生体重时间差异无统计学意义(P>0.05). 结论对极低出生体重儿宜提倡早吸吮、早期微量喂养,以减少喂养相关并发症的发生,缩短住院天数,从而减轻患儿家属经济负担.
목적 탐토량충위양방식대겁저출생체중인(VLBWI)생장발육급위양병발증적영향. 방법 장76례VLBWI환인수궤분성2조,A조:36례조기경구미량위양조;B조:40례조기여이위관위양조.비교량조위양불내수발생정황、회복출생체중시간、질전구위양시간、평균일증장극수、황달지속시간、태분완전배출시간、주원천수급병발증등. 결과 여B조비교,A조체전구위양시간、황달지속시간、태분완전배출시간、주원천수균명현축단,위양불내수솔급병발증발생솔저,평균일증장극수증가,차이유통계학의의(P<0.05혹<0.01).회복출생체중시간차이무통계학의의(P>0.05). 결론 대겁저출생체중인의제창조흡전、조기미량위양,이감소위양상관병발증적발생,축단주원천수,종이감경환인가속경제부담.
Objective To study the influence of different feeding methods on the growth and the prognosis in very low birth weight infants(VLBWI). Methods Seventy -six VLBWI were randomly divided into two groups. Group A: 36 cases with early minimal feeding. Group B :40 eases with gastrogavage. Compared the two groups in the incidence of feeding intolerance, days to re-gain birth weight, daily body weight gain, and total enteral feeding, the duration of jaundice, meeonium excretion time, length of hospitalization and complication. Results The time of total enteral feeding, meconium excretion time, the duration of janndice hospitalization period were shorter in group A than in group B. The rate of feeding intolerance and the rate of eomplieations was lower than the group B(P<0.05 or P <0.01). There was no significant difference in the time to regain birth weight in two groups (P>0.05). Conclusion Early minimal feeding and early sueking up could reduce the oeeurrenee of feeding complica- tions, shorten the length of hospitalization. So it can relieve the burden of patients family.