CAJ | 학술논문

目的：探讨综合护理干预对早产儿喂养效果的影响。方法：2011年12月-2013年12月收治早产儿70例，随机分为研究组和对照组，研究组采用重力喂养结合非营养性吸吮、俯卧位及抚触治疗等综合护理干预护理方式，对照组采用常规间断鼻饲喂养的护理方式，比较两组的喂养情况和耐受情况，包括鼻胃管留置时间、恢复出生的体质量时间和足量胃肠喂养达418.4 kJ/(kg·d)时间等。结果：研究组患儿鼻胃管留置时间、恢复出生的体质量时间和足量胃肠喂养时间均显著低于对照组，两组之间差异具有统计学意义(P＜0.05)；研究组患儿呕吐、腹胀、胃残留和呼吸暂停的不耐受率均低于对照组，两组之间差异具有统计学意义(P＜0.05)。结论：重力喂养结合非营养性吸吮、俯卧位及抚触治疗等综合护理干预能够有效地促进早产儿的胃肠道功能成熟，显著提高喂养的耐受性，促进患儿生长发育，改善患儿生存质量。
목적：탐토종합호리간예대조산인위양효과적영향。방법：2011년12월-2013년12월수치조산인70례，수궤분위연구조화대조조，연구조채용중력위양결합비영양성흡전、부와위급무촉치료등종합호리간예호리방식，대조조채용상규간단비사위양적호리방식，비교량조적위양정황화내수정황，포괄비위관류치시간、회복출생적체질량시간화족량위장위양체418.4 kJ/(kg·d)시간등。결과：연구조환인비위관류치시간、회복출생적체질량시간화족량위장위양시간균현저저우대조조，량조지간차이구유통계학의의(P＜0.05)；연구조환인구토、복창、위잔류화호흡잠정적불내수솔균저우대조조，량조지간차이구유통계학의의(P＜0.05)。결론：중력위양결합비영양성흡전、부와위급무촉치료등종합호리간예능구유효지촉진조산인적위장도공능성숙，현저제고위양적내수성，촉진환인생장발육，개선환인생존질량。
Objective:To explore the effect of comprehensive nursing intervention on premature infants with feeding.Methods:70 cases of premature infants were selected from December 2011 to December 2013,they were randomly divided into the study group and the control group,the study group used gravity feeding combined with non nutritive sucking,prone positioning and touch therapy and other comprehensive nursing intervention of nursing care,the control group used conventional intermittent nasogastric tube feeding,we compared the feeding and tolerance situation of the two groups,including nasogastric tube indwelling time, recovery birth body time and mass sufficient enteral feeding up to 418.4kJ/(kg·days) time.Results:The nasogastric tube indwelling time,recovery birth body time and mass sufficient enteral feeding time of the study group with was significantly lower than those of the control group,with significant statistical difference between the two groups(P<0.05);the not tolerance rate of vomite,abdominal distention,gastric residual and suspended breathing of the study group were lower than those of the control group,with a significant statistical differences between the two groups(P<0.05).Conclusion:Gravity feeding combined with non nutritive sucking,prone positioning and touch therapy and other comprehensive nursing intervention can effectively promote gastrointestinal function of premature maturation,it can significantly improve the tolerance of feeding,promote the growth and development of children,and improve the quality of life of children.