个体化半需求喂养在早产儿中的应用价值  

Individual semi-demand feeding applications in preterm neonates

作　　者：王小娟[1] 马小宁[1] 卢红茹 程凤娜[1] 张莉莉[1] 苟文丽[2] 

机构地区：[1]陕西省人民医院新生儿科,陕西西安710068 [2]西安交通大学医学院第一附属医院妇产科,陕西西安710061

出　　处：《西部医学》2016年第12期1673-1675,共3页Medical Journal of West China

基　　金：国家自然科学基金(30872773)

摘　　要：目的探讨个性化半需求喂养在早产儿中的应用价值。方法选取2014年1月～2016年3月在我院出生的早产儿94例，依据随机数字表法分为观察组（个性化半需求喂养）和对照组（常规喂养）各47例，比较两组早产儿相关指标。结果观察组早产儿的恢复至出生体质量时间、胎便排尽时间、达营养性喂养时间均明显低于对照组，14d体重增长及14d头围增长幅度均显著高于对照组（P〈0．05）。干预后，观察组早产儿的胃泌素、胃动素、白蛋白均明显高于对照组，总胆红素均显著低于对照组（P〈0．05）。观察组早产儿的呕吐、腹胀、胃潴留、胃功能紊乱及喂养不耐受率均明显低于对照组（P〈0．05）。结论个性化半需求喂养能够明显改善早产儿胃肠功能，促进胃泌素、胃动素分泌，加速早产儿生长、发育，值得临床推广应用。Objective To investigate the value of the personalized needs of half feeding on preterm newborns. Methods According to the random number table method, 94 newborn were divided into semi-demand feeding personalization group and the control group. The clinical indicators, gastrin, motilin, total bilirubin, albumin levels and gastrointestinal function and feeding tolerance were observed. Results The premature infants to regain birth time body mass, tire will exhaust all the time and nutrition feeding time of observation group were significantly lower than those in the control group. 14d weight gain and 14d head circumference growth rate of observation group was significantly higher than that of control group （P〈0.05）. The gastrin, motilin and albumin of observation group were was significantly higher than that of the control group, total bilirubin was significantly lower than that of control group （P〈0.05）. The vomiting, abdominal distension, gastric retention, gastric dysfunction and feeding intolerance rate in the observation group were significantly lower than those in the control group （P〈0.05）. Conclusion Personalized half demand feeding for premature neonates can significantly improve gastrointestinal function, gastrin, motilin secretion, accelerate neonatal growth and development.

关 键 词：个性化半需求喂养 早产儿 胃泌素 总胆红素 

分 类 号：R722[医药卫生—儿科]