中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
4期
657-659
,共3页
早期%微量%喂养方式%低出生体重儿%营养状况
早期%微量%餵養方式%低齣生體重兒%營養狀況
조기%미량%위양방식%저출생체중인%영양상황
early%minimal%feeding methods%low-birth-weight newborns%nutritional status
目的 探讨早期持续微量喂养与常规及间断喂养对治疗低出生体重儿营养状况的影响. 方法 选取2013年1月至2014年5月间山东省莱芜市人民医院新生儿科收治的108例低出生体重儿,随机盲取法将其分为A、B、C三组,每组36例,A组采用常规营养方式,B组采用早期间断微量喂养,C组采用早期持续微量喂养,观察三组患儿喂养不耐受及体重、头围、身长生长速度、达完全喂养时间、恢复出生体重时间等. 结果 A组喂养不耐受16(44.44%)例,B组4(11.11%)例,C组2(5.56%)例, 3组间发生率差异有统计学意义(χ2 =19.64,P<0.001);3组间呕吐、潴留物、腹胀及潴留量间对比,差异具有统计学意义(χ2 值分别为12.96、10.69、11.61和19.64,均P<0.01). 3组出院时肠内能量供给量无统计学差异(P>0.05). 在胎便排尽时间、体重增长速度、头围增长速度、身长增加速度、达完全喂养时间及恢复出生体重时间方面,A、B、C组间比较,具有统计学差异( F值分别为40.05、14.25、5.30、17.74、8.00和27.91,均P<0.01). 结论 早期持续微量喂养可完全满足低出生体重儿营养需求,降低喂养不耐受等并发症发生率,促进身高及体重恢复.
目的 探討早期持續微量餵養與常規及間斷餵養對治療低齣生體重兒營養狀況的影響. 方法 選取2013年1月至2014年5月間山東省萊蕪市人民醫院新生兒科收治的108例低齣生體重兒,隨機盲取法將其分為A、B、C三組,每組36例,A組採用常規營養方式,B組採用早期間斷微量餵養,C組採用早期持續微量餵養,觀察三組患兒餵養不耐受及體重、頭圍、身長生長速度、達完全餵養時間、恢複齣生體重時間等. 結果 A組餵養不耐受16(44.44%)例,B組4(11.11%)例,C組2(5.56%)例, 3組間髮生率差異有統計學意義(χ2 =19.64,P<0.001);3組間嘔吐、潴留物、腹脹及潴留量間對比,差異具有統計學意義(χ2 值分彆為12.96、10.69、11.61和19.64,均P<0.01). 3組齣院時腸內能量供給量無統計學差異(P>0.05). 在胎便排儘時間、體重增長速度、頭圍增長速度、身長增加速度、達完全餵養時間及恢複齣生體重時間方麵,A、B、C組間比較,具有統計學差異( F值分彆為40.05、14.25、5.30、17.74、8.00和27.91,均P<0.01). 結論 早期持續微量餵養可完全滿足低齣生體重兒營養需求,降低餵養不耐受等併髮癥髮生率,促進身高及體重恢複.
목적 탐토조기지속미량위양여상규급간단위양대치료저출생체중인영양상황적영향. 방법 선취2013년1월지2014년5월간산동성래무시인민의원신생인과수치적108례저출생체중인,수궤맹취법장기분위A、B、C삼조,매조36례,A조채용상규영양방식,B조채용조기간단미량위양,C조채용조기지속미량위양,관찰삼조환인위양불내수급체중、두위、신장생장속도、체완전위양시간、회복출생체중시간등. 결과 A조위양불내수16(44.44%)례,B조4(11.11%)례,C조2(5.56%)례, 3조간발생솔차이유통계학의의(χ2 =19.64,P<0.001);3조간구토、저류물、복창급저류량간대비,차이구유통계학의의(χ2 치분별위12.96、10.69、11.61화19.64,균P<0.01). 3조출원시장내능량공급량무통계학차이(P>0.05). 재태편배진시간、체중증장속도、두위증장속도、신장증가속도、체완전위양시간급회복출생체중시간방면,A、B、C조간비교,구유통계학차이( F치분별위40.05、14.25、5.30、17.74、8.00화27.91,균P<0.01). 결론 조기지속미량위양가완전만족저출생체중인영양수구,강저위양불내수등병발증발생솔,촉진신고급체중회복.
Objective To explore the construction effect of early continuous minimal feeding, conventional feeding and intermittent feeding on nutritional status of low-birth-weight newborns.Methods From January 2013 to May 2013 totally 108 low-birth-weight newborns admitted in pediatric department of People' s Hospital of Laiwu City Shandong Province were selected, and they were randomly and blindly divided into group A, group B and group C with 36 cases in each group.Group A accepted conventional nutritional feeding, group B accepted early intermittent minimal feeding, and group C accepted early continuous minimal feeding.Three groups were observed in terms of feeding intolerance, head circumference, body length growth speed, time to reach complete feeding, and time to recovery of birth weight.Results There were 16 cases (44.44%) , 4 cases (11.11%) and 2 cases (5.56%) with feeding intolerance in group A, group B and group C, respectively, and the difference in the incidence among three groups was significant (χ2 =19.64,P<0.001).There were significant differences in the incidences of vomiting, retention, abdominal distension and retention amount among three groups (χ2 value was 12.96, 10.69, 11.61 and 19.64, respectively, all P<0.01).The intestinal energy supply of three groups was not statistically different at discharge ( P >0.05 ) .Statistical differences were found in meconium exhausting time, body weight growth speed, head circumference growth speed, increasing speed of body length, time to reach complete feeding and time to recovery of birth weight among three groups (F value was 40.05, 14.25, 5.30, 17.74, 8.00 and 27.91, respectively, all P<0.01).Conclusion Early continuous minimal feeding can completely meet the demands of low-birth-weight newborns' nutrition, reduce the incidence of complications including feeding intolerance and promote height and weight recovery.
