小早产儿早期微量喂养的临床研究  

The Clinical study on early minimal feeding of Low birth weight premature

作　　者：陈震[1] 陈静[1] 杨震英[1] 邵宪花 

机构地区：[1]山东省泰安市妇幼保健院新生儿科,271000

出　　处：《中国保健营养（临床医学学刊）》2010年第7期43-45,共3页China Health Care Nutrtion

摘　　要：目的探讨早期经口微量喂养对小早产儿营养状况、喂养并发症的影响。方法将2006年1月至2009年12月收治的60例小早产儿按随机编号分为观察组30例，采用奶瓶早期微量经口喂养（奶瓶组），对照组30例采用全静脉营养（TPN组），比较两组喂养不耐受发生情况及恢复出生体重时间、平均日增长克数、达到全肠道营养时间、住院天数等。结果两组恢复出生体重时间差异无显著性意义（P〉0．05），平均每日增长克数、达到全肠道营养时间、住院天数两组相比差异具有非常显著性意义（P〈0．01），血糖紊乱发生率、喂养不耐受发生率两组相比差异具有显著性意义（P〈0．05）。结论对小早产儿宜提倡早吸吮、早期微量喂养，以减少喂养不耐受的发生，缩短住院天数。Objective To study the effect of early minimal feeding on the nutrition, the feeding complication of Low birth weight premature. Methods Sixty Low birth weight premature were enrolled in this study between January 2006 and December 2009. The infants were divided into two groups randomly, 30 cases with early minimal feeding by feeding-bottle as observe group （feeding-bottle group） , 30 cases with total parenteral nutrition （TPN） as control group. Compared the two groups in the incidence of feeding intolerance, days to regain birth weight, daily body weight gain, time to establish enteral nutrition, length of hospitalization and complication. Results There was no significant difference in the time to regain birth weight between the two groups （P〉0.05） . But there were significant difference noted in the amount of daily body weight gain, time to establish enteral nutrition, length of hospitalization （P〈0.01） . The incidence of the blood sugar mess, the rate of feeding intolerance in feeding-bottle group was lower than in TPN group （P〈0.05） . Conclusions Early minimal feeding and early sucking up could reduce the occurrence of feeding intolerance, shorten the length of hospitalization in Low birth weight premature.

关 键 词：小早产儿 早期微量喂养 经口 

分 类 号：R722[医药卫生—儿科]