CAJ | 학술논문

目的：探讨传统鼻饲喂养与重力鼻饲喂养对新生儿重症监护室（ NICU）早产儿的应用效果。方法采用前瞻性随机对照研究方法，选取2012年8月-2013年6月新生儿科收治的胎龄＜34周、体质量＜2000 g、需鼻饲喂养的早产儿。根据住院号随机分为传统鼻饲喂养组（对照组）40例与重力鼻饲喂养（观察组）40例。比较两组患儿在达到全胃肠营养所需时间、住院时间、喂养耐受性及相关并发症方面的情况。结果观察组患儿在达到全胃肠营养所需时间、住院时间方面明显优于对照组（t分别为4．780，8．846；P＜0．05），且观察组的喂养耐受性更高，发生呼吸暂停比例更低（χ2分别为3．19，9．69；P＜0．05），而在腹胀、腹泻、坏死性小肠结肠炎方面差异无统计学意义（χ2分别为0．11，0．21；P＞0．05）。结论重力管饲喂养增强了早产儿的喂养耐受性，达到全胃肠营养所需时间和住院时间缩短，为生长发育奠定了良好的基础。
목적：탐토전통비사위양여중력비사위양대신생인중증감호실（ NICU）조산인적응용효과。방법채용전첨성수궤대조연구방법，선취2012년8월-2013년6월신생인과수치적태령＜34주、체질량＜2000 g、수비사위양적조산인。근거주원호수궤분위전통비사위양조（대조조）40례여중력비사위양（관찰조）40례。비교량조환인재체도전위장영양소수시간、주원시간、위양내수성급상관병발증방면적정황。결과관찰조환인재체도전위장영양소수시간、주원시간방면명현우우대조조（t분별위4．780，8．846；P＜0．05），차관찰조적위양내수성경고，발생호흡잠정비례경저（χ2분별위3．19，9．69；P＜0．05），이재복창、복사、배사성소장결장염방면차이무통계학의의（χ2분별위0．11，0．21；P＞0．05）。결론중력관사위양증강료조산인적위양내수성，체도전위장영양소수시간화주원시간축단，위생장발육전정료량호적기출。
Objective To explore the application effect of traditional and gravity nasogastric feeding of preterm infants in neonatal intensive care unit ( NICU) .Methods Eighty preterm infants whose gestational age was less than 34 weeks and birth weight was lower than 2 000 g from August 2012 to June 2013 were chosen through the prospective randomized controlled study method and were randomly divided into the control group and the observation group according to the hospitalization number , each with 40 cases.The control group received the traditional nasogastric feeding , and the observation group received the gravity nasogastric feeding . The time of achieving the total parenteral nutrition and hospitalization , the tolerance for feeding and the related complication were compared between two groups .Results The time of achieving the total parenteral nutrition and hospitalization in the observation group were significantly better than those of control group , and the differences were statistically significant (t=4.780, 8.846, respectively;P<0.05).The tolerance for feeding in the observation was higher than that of the control group , and the cases of apnea in the observation group were less than those of the control group , and the differences were statistically significant (χ2 =3.19, 9.69, respectively;P <0.05).No differences were found in the abdominal distension, diarrhea, necrotizing enterocolitis between two groups (χ2 =0.11, 0.21, respectively;P>0.05).Conclusions Gravity nasogastric feeding can increase the tolerance for feeding in the preterm infants , and shorten the time of achieving the total parenteral nutrition and hospitalization in order to lay a good foundation for growth and development of preterm infants.