50例极低出生体重儿十二指肠喂养的临床观察及护理  

Clinical observation and nursing that50 extremely low birth weight duodenums feed

作　　者：岳翠红[1] 陈百芳[2] 

机构地区：[1]甘肃省肿瘤医院放疗科,甘肃兰州730050 [2]甘肃省妇幼保健院新生儿科,甘肃兰州730050

出　　处：《甘肃医药》2013年第1期36-38,共3页Gansu Medical Journal

摘　　要：目的:探讨两种不同喂养方式对极低出生体重儿(VLBM)生长发育及减少并发症的临床观察及护理。方法:将50例极低出生体重儿随机分成两组,即经口胃管喂养组26例,经口十二指肠喂养组24例,观察两组患儿喂养的情况。结果:经口十二指肠喂养的患儿奶量达100ml/kg时间增加较快,热量达100Kcal/kg时间、恢复出生体重时间和平均住院时间较经口胃管喂养组缩短,并发症的发生率明显低于经口胃管喂养组。结论:极低体重儿出生后早期进行经口十二指肠喂养,较经口胃管喂养的进奶量、热能、蛋白质摄入量均明显增加(P<0.05);恢复出生体重时间,平均住院时间缩短(P>0.05);同时降低了呕吐、胃潴留、腹胀、呼吸暂停、吸入性肺炎及NEC等并发症的发生,提高了极低出生体重儿的存活率及生存质量(P<0.05)。Objective：Canvass two kinds differently and feed the way to the extremely low birth weight （VLBM） Grow and reduce clinical observation and nursing of complication. Methods： Divide 50 cases of extremely low birth weight into two groups at random,namely feed 26 groups by a stomach tube,feed 24 groups by a duodenum,observe two groups of situations which infants feeds. Results：The infant milk quantity of passing duodenum once and feeding reaches 100ml/kg time to increase very fast, heat reaches 100Kcal/kg time, resumes the time of birth weight and relatively feeds the group to shorten by a stomach tube in average hospital stays, the incidence of complication is obviously lower than feeding the group by a stomach tube. Conclusion： Extremely low weight go on, feed by mouthfuls of duodenum in early days born, than feed, enter the intersection of milk and quantity, heat energy, intaking amount of protein, obviously increase by mouthfuls of stomach tube, resume the time of birth weight, average hospital stays are shortened, reduced the emergence of complications such as vomiting, stomach retention, abdominal distension, breathing suspending, sucking pneumonia and NEC, etc. at the same time, have improved survival rate and existence quality of the extremely low birth weight.

关 键 词：极低出生体重儿 十二指肠喂养 临床观察 护理 

分 类 号：R722[医药卫生—儿科]