CAJ | 학술논문

目的：探讨早产儿喂养不耐受的影响因素及相关对策。方法将51例喂养不耐受早产儿设为观察组，随机选择同期非喂养不耐受早产儿52例作为对照组，对上述两组的临床资料进行回顾性分析。结果两组早产儿在出生体重、胎龄大小、开奶时间、宫内窘迫、是否使用氨茶碱及胃出血等方面有差异（P＜0.05），表明喂养不耐受与上述因素相关。结论早产儿喂养不耐受与多种因素相关，及早开奶、早期微量喂养、缓慢增加喂奶量、注意喂奶方式和途径、刺激排便、及时处理腹胀、进行相应的药物干预以及应用微生态制剂，有利于改善早产儿胃肠道喂养的耐受性。
목적：탐토조산인위양불내수적영향인소급상관대책。방법장51례위양불내수조산인설위관찰조，수궤선택동기비위양불내수조산인52례작위대조조，대상술량조적림상자료진행회고성분석。결과량조조산인재출생체중、태령대소、개내시간、궁내군박、시부사용안다감급위출혈등방면유차이（P＜0.05），표명위양불내수여상술인소상관。결론조산인위양불내수여다충인소상관，급조개내、조기미량위양、완만증가위내량、주의위내방식화도경、자격배편、급시처리복창、진행상응적약물간예이급응용미생태제제，유리우개선조산인위장도위양적내수성。
Objective To explore the influence factors and countermeasures for feeding intolerance in preterm Infants. Methods 51 premature infants with feeding intolerance for the observation group,randomly selected the same period non feeding intolerance in preterm infants as control group of 52 cases, the clinical data of these two groups were retrospectively analyzed. Results The two groups of preterm birth weight, gestational age size, open milk time, fetal distress, difference whether the use of aminophylline and gastric hemorrhage and so on were significant difference(P < 0.05), and the factors associated with feeding intolerance. Conclusion The feeding intolerance in preterm infants with a variety of factors, early to open milk, early trace feeding, gradually increase the feeding amount, pay attention to feeding way, to stimulate defecation, early treatment of abdominal distension, drug intervention corresponding and the application of probiotics, to improve the tolerability of gastrointestinal feeding.