CAJ | 학술논문

目的探讨重力喂养辅以非营养性吸吮并结合抚触治疗极低出生体重儿喂养不耐受临床疗效及其护理.方法选取84例极低出生体重的早产儿作为研究对象,随机分为观察组和对照组各42例.对照组在常规治疗基础上,采用注射器胃管间歇注入喂养配方奶;观察组在常规治疗基础上,给予重力喂养辅以非营养性吸吮并结合抚触治疗.结果观察组患儿需奶量、恢复出生体重时间、胃残留量、腹胀消失时间和肠道营养达418.4 kJ/(kg·d)时间与对照组患儿比较,差异均有统计学意义(P＜0.05);观察组喂养不耐受发生率为16.7％,对照组喂养不耐受发生率为69.0％,观察组显著低于对照组,差异有统计学意义(P＜0.01).结论重力喂养辅以非营养性吸吮并结合抚触治疗极低出生体重儿喂养不耐受临床效果较好,能显著改善患儿喂养不耐受状况.
목적 탐토중력위양보이비영양성흡전병결합무촉치료겁저출생체중인위양불내수림상료효급기호리.방법 선취84례겁저출생체중적조산인작위연구대상,수궤분위관찰조화대조조각42례.대조조재상규치료기출상,채용주사기위관간헐주입위양배방내;관찰조재상규치료기출상,급여중력위양보이비영양성흡전병결합무촉치료.결과 관찰조환인수내량、회복출생체중시간、위잔류량、복창소실시간화장도영양체418.4 kJ/(kg·d)시간여대조조환인비교,차이균유통계학의의(P＜0.05);관찰조위양불내수발생솔위16.7％,대조조위양불내수발생솔위69.0％,관찰조현저저우대조조,차이유통계학의의(P＜0.01).결론 중력위양보이비영양성흡전병결합무촉치료겁저출생체중인위양불내수림상효과교호,능현저개선환인위양불내수상황.
Objective To study the effect of gravity feed supplemented by non-nutritive sucking combined with touching treating feeding intolerance of very low birth weight infant (VLBWI).Methods Eighty-four VLBWIS were divided into observation group and control group.In control group,42 infants were treated with conventional therapy.In observation group 42 infants were treated with conventional therapy and gravity feed combined with non-nutritive sucking and touching.Results There was significantly difference between the two groups on amount of milk,time of recovery birth weight,gastric residual volume,time of abdominal distension disappear and time of enteral nutrition up to 418.4 kJ/ (kg · d).Incidence of feeding intolerance was 16.7％ in observation group and 69.0％ in control group,and the difference had a statistical significance.Conclusions It't good in clinical effect on feeding intolerance of VLBWI to treat with gravity feed combined with non-nutritive sucking and touching.