吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
28期
6377-6378
,共2页
极低出生体重儿%水床式鸟巢%微量喂养%发展性照顾
極低齣生體重兒%水床式鳥巢%微量餵養%髮展性照顧
겁저출생체중인%수상식조소%미량위양%발전성조고
Very Low Birth Weight Infants(VLBWI)%Nest Shaped Water Bed%Minimal Nutrition%Expansibility Care
目的：探讨水床式鸟巢配合早期微量肠道喂养对极低出生体重儿（ VLBWI ）的护理效果。方法：将63例VLBWI随机分成观察组31例和对照组32例，对照组给予常规护理，观察组在常规护理的基础上给予“水床式鸟巢”护理并配合早期微量肠道喂养（ MEF），观察并比较两组VLBWI住院期间体温、每天增加奶量、体质量和住院天数。结果：观察组和对照组患儿平均体温分别为（36.8±0.3）℃和（37.1±0.4）℃；每天增加奶量为（15.2±4.1）ml和（10.2±3.2）ml；平均每天增加体质量（35±9.2）g和（23±8.6）g；平均住院天数为（16.2±2.3）d和（20.2±3.6）d。观察组VLBWI的维持中性体温、体质量增长均优于对照组，住院天数也较对照组缩短，差异均有统计学意义（ P<0.01）。结论：水床式鸟巢护理配合早期建立喂养可维持VLBWI中性体温相对稳定，加快体质量增长，减少住院天数，提高其抗病能力，促进患儿早日康复，减轻家属经济负担。
目的：探討水床式鳥巢配閤早期微量腸道餵養對極低齣生體重兒（ VLBWI ）的護理效果。方法：將63例VLBWI隨機分成觀察組31例和對照組32例，對照組給予常規護理，觀察組在常規護理的基礎上給予“水床式鳥巢”護理併配閤早期微量腸道餵養（ MEF），觀察併比較兩組VLBWI住院期間體溫、每天增加奶量、體質量和住院天數。結果：觀察組和對照組患兒平均體溫分彆為（36.8±0.3）℃和（37.1±0.4）℃；每天增加奶量為（15.2±4.1）ml和（10.2±3.2）ml；平均每天增加體質量（35±9.2）g和（23±8.6）g；平均住院天數為（16.2±2.3）d和（20.2±3.6）d。觀察組VLBWI的維持中性體溫、體質量增長均優于對照組，住院天數也較對照組縮短，差異均有統計學意義（ P<0.01）。結論：水床式鳥巢護理配閤早期建立餵養可維持VLBWI中性體溫相對穩定，加快體質量增長，減少住院天數，提高其抗病能力，促進患兒早日康複，減輕傢屬經濟負擔。
목적：탐토수상식조소배합조기미량장도위양대겁저출생체중인（ VLBWI ）적호리효과。방법：장63례VLBWI수궤분성관찰조31례화대조조32례，대조조급여상규호리，관찰조재상규호리적기출상급여“수상식조소”호리병배합조기미량장도위양（ MEF），관찰병비교량조VLBWI주원기간체온、매천증가내량、체질량화주원천수。결과：관찰조화대조조환인평균체온분별위（36.8±0.3）℃화（37.1±0.4）℃；매천증가내량위（15.2±4.1）ml화（10.2±3.2）ml；평균매천증가체질량（35±9.2）g화（23±8.6）g；평균주원천수위（16.2±2.3）d화（20.2±3.6）d。관찰조VLBWI적유지중성체온、체질량증장균우우대조조，주원천수야교대조조축단，차이균유통계학의의（ P<0.01）。결론：수상식조소호리배합조기건립위양가유지VLBWI중성체온상대은정，가쾌체질량증장，감소주원천수，제고기항병능력，촉진환인조일강복，감경가속경제부담。
Objective To investigate the water bed type bird's nest with early minimal enteral feeding in very low birth weight infants ( VLBWI)effect of nursing. Method 63 patients with VLBWI were randomly divided into the observation group 31 cases and control group 32 cases,the control group was given conventional nursing,the observation group was given conventional care,“water bed type nest”care and with early minimal enteral feeding( MEF),two groups of VLBWI during hospitalization,daily temperature increased milk yield,body the quality and length of hospital stay were observed and compared. Results The observation group and the control group in average temper-ature was(36. 8 ± 0. 3)and(37. 1 ± 0. 4),respectively;daily milk yield was increased(15. 2 ± 4. 1)and(10. 2 ± 3. 2),respective-ly;the average daily increase of body weight(35 ± 9. 2)and(23 ± 8. 6),respectively;the average hospital stay was(16. 2 ± 2. 3)and (20. 2 ± 3. 6),respectively. The observation group VLBWI maintain neutral body temperature,body weight growth in the observation group were better than the control group,length of hospital stay was shorter than that of the control group,the differences were statistically signifi-cant( P<0. 01). Conclusion The waterbed type nest nursing with early establishment of feeding can maintain the VLBWI neutral tempera-ture relatively stable,accelerate the growth of body weight,reduce the length of hospital stay,improve the disease resistance,promote early children recovery,lighten the economic burden of the family.
