早期发育支持护理对极低出生体重儿胃肠功能发育的影响  

Effect of early supportive nursing care for very low birth weight infants on gastroin-restinal function development

作　　者：朱爱霞[1] 王梅[2] 武艳霜[3] 张厚玲[3] 廉德花[3] 张显英[3] 

机构地区：[1]山东省滕州市中心人民医院介入室,277500 [2]山东省滕州市中心人民医院老年医学科,277500 [3]山东省滕州市中心人民医院儿科,277500

出　　处：《中华现代护理杂志》2010年第18期2119-2122,共4页Chinese Journal of Modern Nursing

基　　金：山东省滕州市科技局科研基金资助项目（2004026）

摘　　要：目的 探讨早期发育支持护理对极低出生体重儿胃肠功能发育的效果.方法 将127例同期转入NICU的极低出生体重儿随机分为两组,观察组65例,施行早期发育支持护理干预,即出生后4h内留置胃管、生理盐水洗胃,胃肠减压、母乳胃肠内营养及音乐抚触疗法,对照组62例,按传统方法施行早产儿常规护理.结果 观察组血清胃泌素,表皮生长因子水平及体重增长优于对照组（P＜0.01）,腹胀缓解时间、吸吮吞咽功能建立时间、达足量喂养时间、恢复出生体重时间、应用静脉营养时间及住暖箱时间低于对照组（P＜0.01）,并发症少于对照组（P＜0.01）.结论 早期发育支持护理干预,促进了胃肠功能发育成熟,减少了并发症,提高了存活率及生存质量.Objective To explore the effect of early supportive nursing care for very low birth weight infants on gastrointestinal function development. Methods A total of 127 very low birth weight infants transfered to Neonatal Intensive Care Unit （NICU） on the same term were divided randomly into two groups： one group including 65 infants was provided with early supportive nursing care intervention being detained gastric tube within four hours postnatally, gastric lavage with saline , enteral nutrition with breast milk, musical touches and another （62 cases） was provided with the routine nursing by the conventional method. Results Serum motilin,epidermal growth factor and ponderal growth were much better than those in the control group （P 〈0. 01 ）. The relief time of abdominal bloating, setting up time of function of suck and swallow, the time of feed with full dose, the time of birth-weight regain, perioperation, and infantincubator were significantly lower than those in control group（P 〈 0.01 ）. Complication wass less than the compared group （ P 〈 0. 01 ）. Conclusions The intervention of early supportive nursing care completely promotes development of function of gastric bowel line,reduce complication and enhancelivability and quality of life.

关 键 词：婴儿 出生时低体重 发育支持 肠道营养 

分 类 号：R473.72[医药卫生—护理学]