早期微量喂养在早产低体重儿中临床观察  

Clinical observation of early minimal feedings in preterm low birth weight children

作　　者：蒋晓宏[1] 王柏林[1] 

机构地区：[1]安徽省巢湖市第二人民医院新生儿科,安徽巢湖238000

出　　处：《安徽医药》2011年第6期745-746,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨早期微量喂养对早产低出生体重儿生长发育及其并发症发生的影响。方法将早产低出生体重儿50例随机分为两组,其中观察组25例,对照组25例,观察组在常规处理、部分静脉营养及对症支持基础上加用早期微量喂养,而对照组均采用常规管饲或部分静脉营养,观察两组达全量肠内喂养时间、体重量变化、喂养不耐受、呼吸暂停、低血糖及坏死性小肠结肠炎发生率。结果在低血糖方面,两组比较差异无显著(P>0.05),而在达全量肠内喂养时间、恢复至出生体重时间、喂养不耐受、呼吸暂停方面,两组比较差异显著(P<0.05)。结论早期微量喂养可以促进早产低出生体重儿胃肠功能成熟及发育、减少并发症发生。Aim To investigate the impact of minimal feedings no growth,development and occurrence of complications of premature and low birth weight children.Methods 50 children were randomly separated into two groups,the treatment group and the control group.25 cases of the treatment group were given micro-feeding based on part of parenteral nutrition and symptomatic support,while 25 cases of the control group were given the conventional tube raise or partial vein nutrition.Then time for total enteral feeding,change of the body weight feeding intolerance,apnea,hypoglycemia,incidence of necrotic enterocolitis were observesed.Results Low blood sugar difference between the two groups had no significant difference（P0.05）.But there were significant difference between the two groups in time for total enteral feeding,time for returning to birth weight,feeding intolerance and apnea（P0.05）.Conclusion Early micro-feeding can contribute to the mature and development of gastrointestinal fanction of low birth weight children and reduce complications.

关 键 词：早期微量喂养 婴儿 早产 低体重出生儿 

分 类 号：R722.6[医药卫生—儿科]