极低出生体重早产儿肠道内营养两种鼻饲喂养方式比较  

Comparison of two kinds of nasogastric feeding in enteral nutrition for very low birth weight premature infants

作　　者：陈少莹[1] 郑肖玲[1] 吴晓华[1] 

机构地区：[1]汕头市妇幼保健院,广东汕头515041

出　　处：《齐鲁护理杂志》2009年第8期4-5,共2页Journal of Qilu Nursing

摘　　要：目的:探讨最适合极低出生体重早产儿(VLBW)的鼻饲喂养方式。方法:将52例极低出生体重早产儿随机分为对照组和观察组各26例,对照组采用持续鼻饲输注喂养,观察组采用间歇持续鼻饲输注喂养,所有VLBW均同时进行部分外周静脉营养,逐渐过渡到完全肠道内营养。结果:两组极低出生体重早产儿平均住院时间差异无统计学意义(P>0.05);观察组恢复出生体重时间,喂养不耐受,达到完全肠道内喂养时间,黄疸持续时间与对照组比较,差异均有显著性意义(P<0.05)。结论:极低出生体重早产儿采用间歇持续鼻饲输入营养,喂养不耐受发生率低,达到完全胃肠喂养时间短,有利于VLBW的生长发育和胃肠功能完善,值得应用推广。Objective： To explore the most suitable nasogastric feeding for very low birth weight premature infants （VL- BW）. Methods： 52 VLBW premature infants were randomly divided into control group and observation group （ 26 cases for each group）. Continuous nasogastric infusion feeding was used in control group and intermittent nasogastric infusion feeding was ap- plied in observation group, and partial peripheral venous nutrition was given to all YLBW premature infants at the same time and gradually replaced by full enteral nutrition. Results ： The average length of hospitalization between the two groups was not signifi- cantly different （ P 〉 0.05 ） ; there were significant differences in the comparison of restoring time to normal birth weight, feed- ing intolerance, the time to reach complete enteral feeding and the duration of jaundice between the two groups （ P 〈 0.05 ）. Conclusion： The incidence of feeding intolerance is less and the time to reach complete enteral feeding is shorter when intermit- tent continuous nasogastric infusion feeding is applied to VLBW premature infants and the method is conducive to the growth and improvement of gastrointestinal function of VLBW premature infants. The technique is worthy of being used in clinical practice.

关 键 词：肠道营养 极低出生体重早产儿 鼻饲喂养 

分 类 号：R473.72[医药卫生—护理学]