中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
20期
80-81
,共2页
早产儿%微量喂养%临床效果
早產兒%微量餵養%臨床效果
조산인%미량위양%림상효과
Preterm infants%Minimal feeding%Clinical effect
目的：观察微量喂养对早产儿的临床效果。方法：将60例早产儿随机分为对照组和微量喂养组，每组30例，微量喂养组于出生后4～26天开始微量喂养并静脉联合营养，对照组采用静脉营养至病情较稳定后再开始喂养，胃肠喂养开始时间最早为2天。观察两组达到完全胃肠喂养所需的时间、应用静脉营养时间、住院时间、是否有坏死性小肠炎等。结果：两组恢复出生体重时间差异无统计学意义(P＞0.05)。微量喂养组达完全胃肠喂养所需的时间、静脉营养时间及住院时间均短于对照组，差异有统计学意义(P＜0.01)。且微量喂养组喂养不耐受发生率低于对照组，差异有统计学意义(P＜0.01)。结论：早期微量喂养可缩短完全胃肠喂养所需的时间、静脉营养时间及住院时间，同时可减少喂养不耐受发生。
目的：觀察微量餵養對早產兒的臨床效果。方法：將60例早產兒隨機分為對照組和微量餵養組，每組30例，微量餵養組于齣生後4～26天開始微量餵養併靜脈聯閤營養，對照組採用靜脈營養至病情較穩定後再開始餵養，胃腸餵養開始時間最早為2天。觀察兩組達到完全胃腸餵養所需的時間、應用靜脈營養時間、住院時間、是否有壞死性小腸炎等。結果：兩組恢複齣生體重時間差異無統計學意義(P＞0.05)。微量餵養組達完全胃腸餵養所需的時間、靜脈營養時間及住院時間均短于對照組，差異有統計學意義(P＜0.01)。且微量餵養組餵養不耐受髮生率低于對照組，差異有統計學意義(P＜0.01)。結論：早期微量餵養可縮短完全胃腸餵養所需的時間、靜脈營養時間及住院時間，同時可減少餵養不耐受髮生。
목적：관찰미량위양대조산인적림상효과。방법：장60례조산인수궤분위대조조화미량위양조，매조30례，미량위양조우출생후4～26천개시미량위양병정맥연합영양，대조조채용정맥영양지병정교은정후재개시위양，위장위양개시시간최조위2천。관찰량조체도완전위장위양소수적시간、응용정맥영양시간、주원시간、시부유배사성소장염등。결과：량조회복출생체중시간차이무통계학의의(P＞0.05)。미량위양조체완전위장위양소수적시간、정맥영양시간급주원시간균단우대조조，차이유통계학의의(P＜0.01)。차미량위양조위양불내수발생솔저우대조조，차이유통계학의의(P＜0.01)。결론：조기미량위양가축단완전위장위양소수적시간、정맥영양시간급주원시간，동시가감소위양불내수발생。
Objective:To observe the clinical effect of minimal feeding in preterm infants.Methods:60 cases of preterm infants were randomly divided into the control group and the minimal feeding group with 30 cases in each.The minimal feeding group were given minimal feeding and intravenous nutrition in 4 to 26 days after birth.The control group were given intravenous nutrition.When the illness was stable,the control group were given gastrointestinal feeding.The earliest start time of feeding was two days.The required time of gastrointestinal feeding completely,the time of applying intravenous nutrition,hospitalization time, whether there was necrotic enteritis of the two groups were observed.Results:The time of restoring birth weight of children in the two groups had no significant difference(P>0.05).The required time of gastrointestinal feeding completely,the time of applying intravenous nutrition,hospitalization time of the minimal feeding group were shorter than those of the control group.The difference was statistically significant(P<0.01).The incidence of feeding intolerance in the minimal feeding group was lower than that of the control group.The difference was statistically significant(P<0.01).Conclusion:The early minimal feeding can shorten the required time of gastrointestinal feeding completely,the time of intravenous nutrition,and hospitalized time.It also can reduce feeding intolerance.
