鼻饲辅以安慰奶嘴吸吮对早产儿喂养不耐受的疗效观察  

Observation on clinical efficacy of nasal feeding supplemented by sucking pacifiers in premature infants with feeding intolerance

作　　者：邵新环[1] 张建龙[2] 向治纬[3] 

机构地区：[1]新疆石河子市人民医院儿科 [2]新疆医科大学基础医学院病理生理学教研室,新疆乌鲁木齐830011 [3]新疆石河子市人民医院消化科,新疆石河子832000

出　　处：《中国妇幼保健》2010年第7期917-918,共2页Maternal and Child Health Care of China

基　　金：新疆石河子市卫生科研基金资助项目〔2006YL02〕

摘　　要：目的:探讨早产儿早期给予安慰奶嘴吸吮对其喂养及生长发育的影响。方法:将50例早产儿随机分为观察组25例和对照组25例,观察组在鼻胃管喂养时吸安慰奶嘴(无孔橡皮奶头),对照组单纯给予鼻胃管喂养,两组均给予部分静脉营养。观察两组早产儿体重、喂养耐受情况、胎粪排出时间和排尽时间、完全经口喂养时间、静脉营养时间。结果:观察组恢复出生体重时间较对照组缩短(P<0.01),体重下降最大限度两组间比较差异无统计学意义;观察组胃潴留发生率(12.00%)较对照组发生率(40.00%)明显降低;观察组胎粪排尽时间、完全经口喂养时间、静脉营养时间均较对照组缩短(P<0.05)。结论:早产儿在鼻胃管喂养期间辅以安慰奶嘴吸吮是一种适宜的辅助喂养方法。Objective：To explore the effect of sucking pacifiers on growth and development of premature infants.Methods：50 premature infants were divided into observation group（25 cases） and control group（25 cases）,the premature infants in observation group received nasal feeding and pacifiers,and the premature infants in control group received nasal feeding,all the premature infants received parenteral nutrition.The body weight,feeding tolerance,time of meconium excretion,time of full oral feeding and time of parenteral nutrition in the two groups were observed.Results：The recovery time of birth weight in observation group was shorter than that in control group（P0.01）,but there was no significant difference in the maximum extend of body weight loss between the two groups;the incidence of gastric retention in observation group（12.00%） was lower than that in control group（40.00%）;the time of meconium excretion,time of full oral feeding and time of parenteral nutrition in observation group were shorter than those in control group（P0.05）.Conclusion：Nasal feeding supplemented by sucking pacifiers is a suitable method for premature infants with feeding intolerance.

关 键 词：早产儿 安慰奶嘴吸吮 鼻胃管喂养 

分 类 号：R723[医药卫生—儿科]