极低出生体重儿持续鼻饲喂养的临床观察  

Observation of continuous nasogastric gavage feeding for very low birth weight infants

作　　者：许丽萍[1] 朱少波[1] 黄仲玲[1] 杨鸿[1] 翁开枝[1] 郑丽玲[1] 

机构地区：[1]福建医科大学附属漳州市医院新生儿科,363000

出　　处：《中国新生儿科杂志》2010年第5期272-274,共3页Chinese Journal of Neonatology

摘　　要：目的探讨极低出生体重儿(VLBWI)应用持续鼻饲喂养(CNG)和间断鼻饲喂养(IBG)的优缺点。方法将2007年1月至2008年8月收住本院新生儿重症监护病房的VLBWI随机分成CNG组和IBG组,均同时予以部分胃肠外营养,直至达到完全胃肠内喂养。比较两组患儿喂养耐受性、达到完全胃肠内喂养时间、恢复出生体重时间、停止静脉补液时间、后期体重增长速率、出院时宫外发育迟缓率及平均住院日,并分析并发症的发生率。结果 CNG组与IBG组比较,出现喂养不耐受的比例少(6/36比15/38),达到完全胃肠道喂养时间早[(18.6±2.4)d比(24.0±2.5)d],恢复出生体重时间早[(11.2±2.0)d比(13.5±2.5)d],静脉补液时间短[(19.6±3.3)d比(25.6±2.5)d],体重增长快[(15.7±2.5)g.kg-1.d-1比(13.4±3.5)g.kg-1d-1],宫外发育迟缓率低(44.4%比68.4%),并发症减少,P均<0.05。结论 VLBWI更耐受CNG喂养,CNG优于IGB。Objective To evaluate the pros and cons of continuous nasogastric gavage （CNG） feeding for very low birth weight infants （VLBWI）.Methods VLBWI admitted to NICU were randomly divided into CNG feeding group and intermittent bolus gavage （IBG） feeding group. Both groups of VLBWI were supported with parenteral nutrition until they can reach full enteral feeding （FEF）. Two groups were compared with the index of feeding intolerance （FI）,days to achieve FEF,days to regain birth weight （FBW）,days for intravenous infusion,average days for hospitalization,weight growth rate,the incidence of extrauterine growth retardation （EUGR）,and other complications. Results The CNG group compared with the IBG group,the incidence of feeding intolerance occurs less （6/36 vs 15/38）,the days to achieve FEF are earlier [（18.6±2.4） d vs （24.0±2.5） d],the days to regain birth weight are earlier [（11.2±2.0） d vs （13.5±2.5） d],the days for intravenous infusion are shorter [（19.6±3.3） d vs （25.6±2.5） d],body weight gain is faster [（15.7±2.5） g·kg-1d-1 vs （13.4±3.5） g·kg-1d-1],the incidence of extrauterine growth retardation （44.4% vs 68.4%） and other complications are lower （P all 0.05）. Conclusion CNG feeding is more acceptable and tolerable for VLBWI,and is better in comparison to IGB feeding.

关 键 词：婴儿 极低出生体重 插管术 胃肠 营养支持 

分 类 号：R722[医药卫生—儿科]