中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
17期
105-107
,共3页
极低出生体重儿%重力喂养%非营养性吸吮%抚触
極低齣生體重兒%重力餵養%非營養性吸吮%撫觸
겁저출생체중인%중력위양%비영양성흡전%무촉
Very low birth weight children%Gravity-fed%Non-nutritive sucking%Touch
目的：探讨极低出生体重儿给予重力喂养及非营养性吸吮并结合新生儿抚触护理干预方法的临床效果。方法：选取2013年1月-2014年1月本院新生儿科收治的极低出生体重儿62例，随机均分为两组，其中31例给予常规间断鼻饲喂养治疗（常规组），另外31例给予重力喂养、非营养性吸吮、抚触护理干预治疗（观察组），对比其临床效果。结果：观察组患儿的鼻胃管留置时间为（11.30±6.83）d，恢复出生体质量时间为（7.64±3.55）d，足量胃肠喂养时间为（11.62±6.45）d，住院时间为（24.42±11.05）d。常规组患儿的鼻胃管留置时间为（15.72±7.79）d，恢复出生体质量时间为（12.45±3.80）d，足量胃肠喂养时间为（15.41±6.52）d，住院时间为（35.68±17.82）d。观察组患儿的各项指标时间均明显短于常规组，差异均有统计学意义（P<0.05）。观察组患儿中有5例（16.13%）呕吐，6例（19.35%）腹胀，4例（12.90%）胃残留，2例（6.45%）呼吸暂停。常规组有16例（51.61%）呕吐，15例（48.39%）腹胀，14例（45.16%）胃残留，11例（35.48%）呼吸暂停。观察组患儿的喂养不耐受情况均明显轻于常规组患儿，差异均有统计学意义（P<0.05）。结论：给予极低出生体重儿重力喂养及非营养性吸吮并结合新生儿抚触护理干预，可有效缓解喂养不耐受的情况，从而改善患儿预后，保障患者健康成长。
目的：探討極低齣生體重兒給予重力餵養及非營養性吸吮併結閤新生兒撫觸護理榦預方法的臨床效果。方法：選取2013年1月-2014年1月本院新生兒科收治的極低齣生體重兒62例，隨機均分為兩組，其中31例給予常規間斷鼻飼餵養治療（常規組），另外31例給予重力餵養、非營養性吸吮、撫觸護理榦預治療（觀察組），對比其臨床效果。結果：觀察組患兒的鼻胃管留置時間為（11.30±6.83）d，恢複齣生體質量時間為（7.64±3.55）d，足量胃腸餵養時間為（11.62±6.45）d，住院時間為（24.42±11.05）d。常規組患兒的鼻胃管留置時間為（15.72±7.79）d，恢複齣生體質量時間為（12.45±3.80）d，足量胃腸餵養時間為（15.41±6.52）d，住院時間為（35.68±17.82）d。觀察組患兒的各項指標時間均明顯短于常規組，差異均有統計學意義（P<0.05）。觀察組患兒中有5例（16.13%）嘔吐，6例（19.35%）腹脹，4例（12.90%）胃殘留，2例（6.45%）呼吸暫停。常規組有16例（51.61%）嘔吐，15例（48.39%）腹脹，14例（45.16%）胃殘留，11例（35.48%）呼吸暫停。觀察組患兒的餵養不耐受情況均明顯輕于常規組患兒，差異均有統計學意義（P<0.05）。結論：給予極低齣生體重兒重力餵養及非營養性吸吮併結閤新生兒撫觸護理榦預，可有效緩解餵養不耐受的情況，從而改善患兒預後，保障患者健康成長。
목적：탐토겁저출생체중인급여중력위양급비영양성흡전병결합신생인무촉호리간예방법적림상효과。방법：선취2013년1월-2014년1월본원신생인과수치적겁저출생체중인62례，수궤균분위량조，기중31례급여상규간단비사위양치료（상규조），령외31례급여중력위양、비영양성흡전、무촉호리간예치료（관찰조），대비기림상효과。결과：관찰조환인적비위관류치시간위（11.30±6.83）d，회복출생체질량시간위（7.64±3.55）d，족량위장위양시간위（11.62±6.45）d，주원시간위（24.42±11.05）d。상규조환인적비위관류치시간위（15.72±7.79）d，회복출생체질량시간위（12.45±3.80）d，족량위장위양시간위（15.41±6.52）d，주원시간위（35.68±17.82）d。관찰조환인적각항지표시간균명현단우상규조，차이균유통계학의의（P<0.05）。관찰조환인중유5례（16.13%）구토，6례（19.35%）복창，4례（12.90%）위잔류，2례（6.45%）호흡잠정。상규조유16례（51.61%）구토，15례（48.39%）복창，14례（45.16%）위잔류，11례（35.48%）호흡잠정。관찰조환인적위양불내수정황균명현경우상규조환인，차이균유통계학의의（P<0.05）。결론：급여겁저출생체중인중력위양급비영양성흡전병결합신생인무촉호리간예，가유효완해위양불내수적정황，종이개선환인예후，보장환자건강성장。
Objective:To investigate the clinical effects of very low birth weight children given the gravity-fed and non-nutritive sucking and nursing interventions for newborn massage.Method:From January 2013 to January 2014 period,our hospital neonatal treated 62 cases of very low birth weight children were randomly divided into two groups,31 patients were given conventional treatment intermittent gastronomic feeding (conventional group),The remaining 31 patients were given the gravity-fed,non-nutritive sucking,touching nursing intervention therapy (study group),compared to its clinical effects.Result:The group of children with a gastronomic tube indwelling time was (11.30±6.83) d,recovery time of birth weight (7.64±3.55) d, a sufficient amount of entrant feeding time (11.62±6.45) d,length of hospital stay for (24.42±11.05) d.Gastronomic tube indwelling time children in the control group was (15.72±7.79) d,recovery time of birth weight (12.45±3.80) d,a sufficient amount of entrant feeding time (15.41±6.52) d,hospitalization time (35.68±17.82) d.Indicators of childminders time in the observation group were significantly shorter than children in the control group,the difference was statistically significant (P<0.05). There were 5 children in the observation group (16.13%) in children with vomiting cases,6 patients (19.35%) were abdominal distension,4 patients (12.90%) were gastric residual,2 children (6.45%) with respiratory cases suspended.There were 16 children (51.61%) in the control group and vomiting in children cases,15 patients (48.39%) were abdominal distension,14 infants (45.16%) gastric residual,11 cases (35.48%) of children with breathing pauses.Feeding children was not tolerated in the observation group was significantly lighter than the control group of patients,the difference was statistically significant (P<0.05). Conclusion:Very low birth weight children given the gravity-fed and non-nutritive sucking and massage combined with newborn care interventions can effectively alleviate the situation of feeding intolerance,thereby improving the prognosis,protect the healthy growth of the patient.
