中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
11期
1289-1291
,共3页
早产%护理%婴儿,低出生体重%微量喂养%抚触
早產%護理%嬰兒,低齣生體重%微量餵養%撫觸
조산%호리%영인,저출생체중%미량위양%무촉
Premature%Nursing%Infant,low birth weight%Microdosis feeding%Touching
目的 评价不同喂养方法对早产低出生体重儿早期喂养的效果,探讨适宜的喂养策略及护理措施.方法 选择早产低出生体重儿120例,随机分为微量喂养和抚触组(n=40)、微量喂养组(n=40)及对照组(n=40),分别给予不同的喂养方法,比较3组喂养效果.结果 微量喂养和抚触组患儿每日摄入奶量、恢复出生体重的日龄、每日体重增长、停止应用胃肠外营养的日龄、达到足量胃肠道喂养的时间、住院时间、每日大便次数及喂养不耐受发生率分别为(93.5±32.1)ml/(kg·d),(3.9±2.3)d,(19.1±6.4)g/d,(10.1±3.2)d,(18.2±4.3)d,(22.5±5.8)d,(1.0±0.3)次/d,17.5％,均优于微量喂养组和对照组,3组间比较差异均有统计学意义(F/x2分别为20.21,11.19,20.32,19.81,11.65,7.66,21.82,20.55;P ＜0.01)；上述8个指标中,微量喂养和抚触组中各指标除住院时间外均优于微量喂养组,微量喂养组各指标除喂养不耐受率外均优于对照组,差异均有统计学意义(P＜0.05).结论 抚触配合早期微量喂养能促进早产低出生体重儿胃肠道功能,改善胃肠动力.
目的 評價不同餵養方法對早產低齣生體重兒早期餵養的效果,探討適宜的餵養策略及護理措施.方法 選擇早產低齣生體重兒120例,隨機分為微量餵養和撫觸組(n=40)、微量餵養組(n=40)及對照組(n=40),分彆給予不同的餵養方法,比較3組餵養效果.結果 微量餵養和撫觸組患兒每日攝入奶量、恢複齣生體重的日齡、每日體重增長、停止應用胃腸外營養的日齡、達到足量胃腸道餵養的時間、住院時間、每日大便次數及餵養不耐受髮生率分彆為(93.5±32.1)ml/(kg·d),(3.9±2.3)d,(19.1±6.4)g/d,(10.1±3.2)d,(18.2±4.3)d,(22.5±5.8)d,(1.0±0.3)次/d,17.5％,均優于微量餵養組和對照組,3組間比較差異均有統計學意義(F/x2分彆為20.21,11.19,20.32,19.81,11.65,7.66,21.82,20.55;P ＜0.01)；上述8箇指標中,微量餵養和撫觸組中各指標除住院時間外均優于微量餵養組,微量餵養組各指標除餵養不耐受率外均優于對照組,差異均有統計學意義(P＜0.05).結論 撫觸配閤早期微量餵養能促進早產低齣生體重兒胃腸道功能,改善胃腸動力.
목적 평개불동위양방법대조산저출생체중인조기위양적효과,탐토괄의적위양책략급호리조시.방법 선택조산저출생체중인120례,수궤분위미량위양화무촉조(n=40)、미량위양조(n=40)급대조조(n=40),분별급여불동적위양방법,비교3조위양효과.결과 미량위양화무촉조환인매일섭입내량、회복출생체중적일령、매일체중증장、정지응용위장외영양적일령、체도족량위장도위양적시간、주원시간、매일대편차수급위양불내수발생솔분별위(93.5±32.1)ml/(kg·d),(3.9±2.3)d,(19.1±6.4)g/d,(10.1±3.2)d,(18.2±4.3)d,(22.5±5.8)d,(1.0±0.3)차/d,17.5％,균우우미량위양조화대조조,3조간비교차이균유통계학의의(F/x2분별위20.21,11.19,20.32,19.81,11.65,7.66,21.82,20.55;P ＜0.01)；상술8개지표중,미량위양화무촉조중각지표제주원시간외균우우미량위양조,미량위양조각지표제위양불내수솔외균우우대조조,차이균유통계학의의(P＜0.05).결론 무촉배합조기미량위양능촉진조산저출생체중인위장도공능,개선위장동력.
Objective To evaluate the effect of different feeding methods on premature infants with low birth weight,and to explore appropriate feeding strategies and nursing measures.Methods Totals of 120 premature infants with low birth weight were randomly divided into the group of microdosis feeding with touching,the group of microdosis feeding and the control group,each with 40 cases,and their effects were compared.Results The indexes of daily milk taking,regaining birth weight,daily weight growing,parental nutrition (PN) time,reaching full eternal nutrition (FEN)time,hospitalization time,daily stool,defecating frequency and the incidence of feeding intolerance in the group of microdosis feeding with touching,the group of microdosis feeding and the control group were respectively (93.5 ± 32.1) ml/kg/d,(3.9 ± 2.3) d,(19.1 ± 6.4) g/d,(10.1 ±3.2) d,(18.2 ±4.3)d,(22.5 ±5.8)d,(1.0 ±0.3)times/d,17.5％,(78.6 ±23.4) ml/kg/d,(5.8 ±3.5)d,(15.3 ±5.3)g/d,(13.7 ±5.1)d,(21.4 ±6.4) d,(25.3 ± 7.2) d,(0.8 ±0.3) times/d,47.5％ and (56.8 ±21.1)ml/kg/d,(7.7 ±4.6)d,(11.4 ±4.3)g/d,(17.3 ±6.5)d,(24.9 ±7.5)d,(28.9 ±8.7)d,(0.6 ± 0.2) times/d,67.5％,all of which among three groups had significant difference (F/x2 =20.21,11.19,20.32,19.81,11.65,7.66,21.82,20.55,respectively ; P ＜ 0.01).All indexes in the group of microdosis feeding with touching were better than those in the group of microdosis feeding,except for hospitalization time and those in the group of microdosis feeding were better than the control group,except for the incidence of feeding intolerance (P ＜ 0.05).Conclusions Microdosis feeding combined with touching can promote the development gastrointestinal tract and improve gastro intestinal motility of premature infants with low birth weight.
