国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
6期
850-853
,共4页
极低出生体重儿%重力管饲%非营养性吸吮(NNS)%完全经口喂养%护理体会
極低齣生體重兒%重力管飼%非營養性吸吮(NNS)%完全經口餵養%護理體會
겁저출생체중인%중력관사%비영양성흡전(NNS)%완전경구위양%호리체회
Very low birth weight infant%Gravity tubal feeding%Non-nutritive sucking%Complete oral feeding%Nursing experience
目的 探讨极低出生体重儿经口留置胃管,采用间断重力管饲喂养,同时予非营养性吸吮的护理效果.方法 将84例极低出生体重儿随机分为观察组和对照组,观察组予重力管饲喂养,同时予非营养性吸吮(NNS),对照组予常规注射器推注管饲喂养方法.结果 观察组患儿发生腹胀、呕吐、残奶及误吸的比例28.6％、35.7％、50.0％、7.1％,与对照组(比例分别为50.0％、66.7％、85.7％、23.8％)比较明显减少(P＜0.05),观察组患儿体重增长量(17.2±5.16)g/(kg·d)及实现完全经口喂养的时间PMA(35.59±1.76)周均优于对照组(10.2±4.28) g/(kg·d)、PMA(36.76±1.86)周(P＜0.05).结论 经口留置胃管,采用间断重力管饲喂养,同时予非营养性吸吮(NNS),可减少极低出生体重儿喂养不耐受的发生,缩短完全实现经口喂养的时间.
目的 探討極低齣生體重兒經口留置胃管,採用間斷重力管飼餵養,同時予非營養性吸吮的護理效果.方法 將84例極低齣生體重兒隨機分為觀察組和對照組,觀察組予重力管飼餵養,同時予非營養性吸吮(NNS),對照組予常規註射器推註管飼餵養方法.結果 觀察組患兒髮生腹脹、嘔吐、殘奶及誤吸的比例28.6％、35.7％、50.0％、7.1％,與對照組(比例分彆為50.0％、66.7％、85.7％、23.8％)比較明顯減少(P＜0.05),觀察組患兒體重增長量(17.2±5.16)g/(kg·d)及實現完全經口餵養的時間PMA(35.59±1.76)週均優于對照組(10.2±4.28) g/(kg·d)、PMA(36.76±1.86)週(P＜0.05).結論 經口留置胃管,採用間斷重力管飼餵養,同時予非營養性吸吮(NNS),可減少極低齣生體重兒餵養不耐受的髮生,縮短完全實現經口餵養的時間.
목적 탐토겁저출생체중인경구류치위관,채용간단중력관사위양,동시여비영양성흡전적호리효과.방법 장84례겁저출생체중인수궤분위관찰조화대조조,관찰조여중력관사위양,동시여비영양성흡전(NNS),대조조여상규주사기추주관사위양방법.결과 관찰조환인발생복창、구토、잔내급오흡적비례28.6％、35.7％、50.0％、7.1％,여대조조(비례분별위50.0％、66.7％、85.7％、23.8％)비교명현감소(P＜0.05),관찰조환인체중증장량(17.2±5.16)g/(kg·d)급실현완전경구위양적시간PMA(35.59±1.76)주균우우대조조(10.2±4.28) g/(kg·d)、PMA(36.76±1.86)주(P＜0.05).결론 경구류치위관,채용간단중력관사위양,동시여비영양성흡전(NNS),가감소겁저출생체중인위양불내수적발생,축단완전실현경구위양적시간.
Objective To investigate nursing method and effect of gravity tubal feeding combined with non-nutritive sucking via tube indwelling from mouth in very low birth weight infants.Methods 84 cases of very low birth weight infants were randomly divided into experimental group and control group.Experimental group was treated with gravity tubal feeding combined with non-nutritive sucking,while control group was treated with conventional method of nasal tube feeding with a syringe.Results The rates of abdominal distention,vomit,residual milk and aspiration in experimental group were significantly lower than those in control group (28.6％ vs.50.0％,35.7％ vs.66.7％,50％ vs.85.7％,7.1％ vs.23.8％;P＜0.05).The amount of weight gain and the time of achieving complete oral feeding in experimental group were significantly better than those in control group [(17.2 ± 5.16)g/(kg·d) vs.(10.2 ± 4.28)g/(kg·d),PMA(35.59 ± 1.76)w vs.PMA(36.76 ± 1.86)w; P＜0.05].Conclusion Gravity tubal feeding combined with non-nutritive sucking via tube indwelling from mouth can decrease the occurrence of feeding intolerance,and shorten the time of achieving complete oral feeding in very low birth weight infants.
