母乳喂养质量改进对极低和超低出生体重儿亲母母乳喂养率的影响  

Effect of breastfeeding quality improvement on breastfeeding rate in very low birth weight and extremely low birth weight infants

作　　者：刘凤[1] 韩树萍[1] 余章斌[1] 张俊[1] 陈小慧[1] 吴薇敏 楚雪[1] 刘蓓蓓[1] 

机构地区：[1]南京医科大学附属妇产医院儿科,江苏南京210004

出　　处：《中国当代儿科杂志》2016年第10期937-942,共6页Chinese Journal of Contemporary Pediatrics

基　　金：江苏省医学重点人才资助项目(RC2011021)

摘　　要：目的探讨NICU中母乳喂养质量改进措施对极低和超低出生体重儿亲母母乳喂养率的影响。方法回顾性调查收集2014年7月至2015年7月收治的极低和超低出生体重儿(质量改进前组)以及实施母乳质量改进措施后的2015年8月至2016年6月的极低和超低出生体重儿(质量改进后组)资料。对两组患儿住院期间亲母母乳喂养情况(喂养率、喂养量、喂养时间)、静脉营养持续时间、达到全肠道喂养的时间,喂养不耐受发生率等指标进行比较。结果实施质量改进后,亲母母乳喂养率和喂养量均明显增高,母乳强化剂添加时间、静脉营养时间、达全肠道喂养时间均较改进前提前,喂养不耐受的发生率较改进前有所改善,差异有统计学意义。结论亲母母乳喂养质量改进措施可提高NICU亲母母乳喂养率,改善早产儿消化系统相关并发症。ObjectiveTo study the effect of breastfeeding quality improvement on the breastfeeding rate in very low birth weight （VLBW） and extremely low birth weight （ELBW） infants in the neonatal intensive care unit （NICU）. MethodsA retrospective analysis was performed for the clinical data of VLBW and ELBW infants who were admitted from July 2014 to July 2015 （pre-improvement group） and those who were admitted from August 2015 to June 2016 after the implementation of breastfeeding quality improvement measures （post-improvement group）. The parameters including condition of breastfeeding （breastfeeding rate, breastfeeding amount, and breastfeeding time）, duration of parenteral nutrition, time to enteral feeding, and incidence of feeding intolerance were compared between the two groups. ResultsThe implementation of breastfeeding quality improvement measures signiifcantly increased breastfeeding rate and amount, signiifcantly shortened time to addition of human milk fortiifer, duration of parenteral nutrition, and time to enteral feeding, and signiifcantly decreased the incidence of feeding intolerance.ConclusionsBreastfeeding quality improvement measures can increase breastfeeding rate in the NICU and decrease gastrointestinal complications in preterm infants.

关 键 词：质量改进 母乳 极低出生体重儿 超低出生体重儿 

分 类 号：R174.4[医药卫生—妇幼卫生保健]