胎龄34周以上胃肠内喂养不耐受新生早产儿合理喂养方式研究  

Reasonable feeding patterns for premature infants in more than thirty-four weeks gestational age with enteral feeding intolerance

作　　者：李卫东[1] 钟晓[1] 迟春昕[1] 何源[1] 王文祥[1] 

机构地区：[1]南方医科大学附属小榄医院儿科,广东中山528415

出　　处：《新乡医学院学报》2011年第1期60-62,共3页Journal of Xinxiang Medical University

基　　金：中山市医学科学技术研究基金项目(编号:20082A161)

摘　　要：目的探讨胎龄34周以上胃肠内喂养不耐受新生早产儿合理的喂养方式。方法将126例胎龄34周以上新生早产儿随机分为3组,每组42例。A组:温开水、50 g.L-1葡萄糖水和1∶1稀释早产奶各喂养3次,每次间隔3 h;B组:温开水、50 g.L-1葡萄糖水和1∶1稀释早产奶各喂养6次,每次间隔3 h;C组:温开水、50 g.L-1葡萄糖水和1∶1稀释早产奶各喂养1 d,每次间隔3 h。观察3组患儿发生腹胀、呕吐、胃出血、胃潴留情况及胎便排尽时间、黄疸持续时间、吸吮动作出现时间、体质量增长情况及平均住院时间。结果 A组患儿腹胀、呕吐、胃出血及胃潴留发生率低于B组和C组(P<0.05);A组患儿胎粪排尽时间、黄疸持续时间及平均住院时间较短,吸吮动作出现时间较早,体质量增长较快,差别均有统计学意义(P<0.05);B组与C组上述指标比较差别均无统计学意义(P>0.05)。结论采用温开水、葡萄糖水和稀释奶各喂养3次的方式喂养有利于促进新生早产儿喂养耐受性,是胎龄34周以上喂养不耐受新生早产儿较合理的喂养方式。Objective To investigate the reasonable feeding patterns for premature infants in more than 34 weeks gestational age with enteral feeding intolerance.Methods One hundred and twenty-six premature infants in more than 34 weeks gestational age were randomly divided into three groups,each with 42 cases.Group A：warm water,50 g·L-1 glucose water,and 11 dilution of milk to feed three times,3 hours for one time;Group B：warm water,50 g·L-1 glucose water,and 11 dilution of milk to feed six times,3 hours for one time;Group C：warm water,50 g·L-1glucose water,and 11 dilution of milk to feed every day,3 hours for one time.Abdominal distension,vomiting,bleeding,gastric retention and time of meconium exhanstion,the duration of jaundice,time of sucking movements appear,weight growth and the average stay in three groups were observed.Results The incidence rates of abdominal distension,vomiting,gastrorrhagia and gastric retention in group A were lower than these in group B and group C（P0.05）.Time of meconium exhanstion,the duration of jaundice and the average duration of hospital stay in group A were significantly shorter than these in group B（P0.05）.The time of meconium exhanstion,the duration of jaundice and the average duration of hospital stay in group A were significantly shorter and sucking movements appear significantly earlier and weight increased fast in group A;These differences had statistical significance（P0.05）.There was no difference in the indexes between group B and group C（P0.05）.Conclusion Using warm water,glucose water and diluted of milk to feed three times each way is conducive to the promotion of feeding tolerance,and is a more reasonable way for premature infant in more than 34 weeks gestational age.

关 键 词：早产儿 胃肠内喂养 喂养不耐受 

分 类 号：R725[医药卫生—儿科]