早产低出生体重儿早期间歇持续微量喂养的护理分析  

The cary analysis of early intermittent continuous feedings for pretemr low birth weight children

作　　者：曾玉友[1] 韩芳[1] 黄荣辉[1] 

机构地区：[1]惠州市第三人民医院外一科,广东惠州516002

出　　处：《广州医学院学报》2013年第4期113-115,共3页Academic Journal of Guangzhou Medical College

摘　　要：目的：探讨早产低出生体重儿采用早期间歇持续微量喂养的护理要点和效果．．方法：将在NICU住院60例早产极低出生体重儿（VLBWI）随机分入观察组与对照组，每组30例。对照组在患儿出生24h后采用常规胃管喂养法，观察纽患儿在对照组的常规治疗护理基础上．出生后24h内给予间歇持续微量喂养，采用微量输液泵通过胃管持续间断泵入每天奶量，时间2h喂1次，滴入2h后暂停2h，当VLBWI每次奶量增加至15～20mL／kg体重时将2h喂养1次改为3h喂1次。停止鼻饲后比较两组效果。结果：观察组与对照组喂养不耐受率分别为6．6％、30％，二者比较差异有统计学意义（P〈0．01）：观察组每日体质量增长量显著高于对照组（P〈0．01）；观察组达完全胃肠道喂养时间、吸吮吞咽功能建立时间及住院时间显著少于对照组（P〈0．01）。结论：认真细致地执行间歇持续微量喂养方案．有利于VLBWI的生长发育，可大大提高极VLBWI的生存率及生命质量，值得推广。Objective： To analyze The cary analysis of Eearly intermittent continuous feedings for pretemr low birth weight children. Method：60 VLBWI in NICU were divid into two group （30 cases） received the method of conventional gastic tube feeding; Treatment group （30 cases）, based on conventional treatment, stared feeding within 24 h afterbirth, abd the daily milk through the tube with a micro infusion pump intermittent continuous injected to VLBWI per 2 hours, suspended 2 h ＇after 2 h. Whenthe milk weight increased to 15 -20 ml/kg,feeding 1 time per 3 hours. Both group stopped nasal feeding until VLBW1 could suck and swallow by thcmsolves. Finally,the amount of each feeding, the number of feeding intolerance and the indicators of growth anddevelopment were recorded and conpared in two groups. Results：VLBWI given intermittently continuous micro feeding early in treat ment group transition to oral feeding ealier, signilieantly reduced the incidence, and prromoted ealy growth and development. Conclusion： Early intemittent contnuous feedings is a simple and effective method of complementary feeding to VLBWI, it may play an impotant role in the early growth of VLBWI.

关 键 词：极低出生体重儿 间歇持续微量喂养 生长发育 护理分析 

分 类 号：R722.6[医药卫生—儿科]