中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
5期
773-775
,共3页
全身抚触%双歧杆菌四联活菌片%喂养不耐受%早产儿%生长发育
全身撫觸%雙歧桿菌四聯活菌片%餵養不耐受%早產兒%生長髮育
전신무촉%쌍기간균사련활균편%위양불내수%조산인%생장발육
body massage%Bifidobacterium quadruple viable piece%feeding intolerance%preterm infants%growth and development
目的：探讨联合双歧杆菌四联活菌片的全身抚触对早产儿喂养不耐受及前期生长发育的影响。方法选择2010年1月至2013年10月在济宁医学院附属金乡医院新生儿病房收治的需间断胃管喂养的早产儿92例，随机分为治疗组和对照组各46例，治疗组除常规治疗外予以全身抚触联合双歧杆菌四联活菌片，记录两组喂养不耐受和生长发育相关指标。结果治疗7天后，喂养不耐受治疗的有效率，治疗组为76．1％（35/46），对照组为43．5％（20/46），差异具有统计学意义（χ2＝10．18，P＜0．05）；治疗组的开奶时间少于对照组，治疗组的开奶量高于对照组，治疗组达到经口全胃肠喂养时间少于对照组，差异均具有统计学意义（t值分别为4．79、4．82、4．11，均P＜0．05）。治疗组恢复至出生体重的时间显著短于对照组，而头围增长幅度以及14天时体重量显著大于对照组（t值分别为5．16、3．65、5．04，均P＜0．05）。结论全身抚触联合双歧杆菌四联活菌片对早产儿喂养不耐受及生长发育具有重要影响，能够促进胃肠功能成熟，显著降低喂养不耐受症状的发生，并对其生长发育具有促进作用。
目的：探討聯閤雙歧桿菌四聯活菌片的全身撫觸對早產兒餵養不耐受及前期生長髮育的影響。方法選擇2010年1月至2013年10月在濟寧醫學院附屬金鄉醫院新生兒病房收治的需間斷胃管餵養的早產兒92例，隨機分為治療組和對照組各46例，治療組除常規治療外予以全身撫觸聯閤雙歧桿菌四聯活菌片，記錄兩組餵養不耐受和生長髮育相關指標。結果治療7天後，餵養不耐受治療的有效率，治療組為76．1％（35/46），對照組為43．5％（20/46），差異具有統計學意義（χ2＝10．18，P＜0．05）；治療組的開奶時間少于對照組，治療組的開奶量高于對照組，治療組達到經口全胃腸餵養時間少于對照組，差異均具有統計學意義（t值分彆為4．79、4．82、4．11，均P＜0．05）。治療組恢複至齣生體重的時間顯著短于對照組，而頭圍增長幅度以及14天時體重量顯著大于對照組（t值分彆為5．16、3．65、5．04，均P＜0．05）。結論全身撫觸聯閤雙歧桿菌四聯活菌片對早產兒餵養不耐受及生長髮育具有重要影響，能夠促進胃腸功能成熟，顯著降低餵養不耐受癥狀的髮生，併對其生長髮育具有促進作用。
목적：탐토연합쌍기간균사련활균편적전신무촉대조산인위양불내수급전기생장발육적영향。방법선택2010년1월지2013년10월재제저의학원부속금향의원신생인병방수치적수간단위관위양적조산인92례，수궤분위치료조화대조조각46례，치료조제상규치료외여이전신무촉연합쌍기간균사련활균편，기록량조위양불내수화생장발육상관지표。결과치료7천후，위양불내수치료적유효솔，치료조위76．1％（35/46），대조조위43．5％（20/46），차이구유통계학의의（χ2＝10．18，P＜0．05）；치료조적개내시간소우대조조，치료조적개내량고우대조조，치료조체도경구전위장위양시간소우대조조，차이균구유통계학의의（t치분별위4．79、4．82、4．11，균P＜0．05）。치료조회복지출생체중적시간현저단우대조조，이두위증장폭도이급14천시체중량현저대우대조조（t치분별위5．16、3．65、5．04，균P＜0．05）。결론전신무촉연합쌍기간균사련활균편대조산인위양불내수급생장발육구유중요영향，능구촉진위장공능성숙，현저강저위양불내수증상적발생，병대기생장발육구유촉진작용。
Objective To investigate the effect of combining Bifidobacterium quadruple viable piece with body massage on preterm infants'feeding intolerance and early development.Methods From January 2010 to October 2013 92 preterm infants needing intermittent tube feeding were admitted in neonatal wards in Jinxiang Hospital Affiliated to Jining Medical College.They were randomly divided into treatment group and control group with 46 in each.The treatment group was provided with body massage combined with Bifidobacterium quadruple viable piece, and the feeding intolerance and development related indexes were recorded.Results Seven days after treatment, the effective rate of feeding intolerance was 76.1% ( 35/46 ) in the treatment group and 43.5% ( 20/46 ) in the control group, respectively.The difference was significant (χ2 =10.18, P<0.05).Compared with the control group, the breastfeeding initiation was earlier, the initiation quantity was larger, and the time for whole gastrointestinal feeding through mouth was shorter in the treatment group ( t value was 4.79, 4.82 and 4.11, respectively, all P<0.05) .The time return to birth weight was remarkably shorter but the extent of head circumference increase and the body weight at 14 d were greater in the treatment group than the control group ( t value was 5.16, 3.65 and 5.04, respectively, all P<0.05).Conclusion The body massage combined with Bifidobacterium quadruple viable piece has an important influence on feeding intolerance of preterm infants.It can promote gastrointestinal mature, reduce the occurrence of feeding intolerance symptoms, and promote infants’ growth and development.
