早期不同喂养方式对早产儿喂养不耐受的影响  

Effect of early nursing intervention on feeding intolerance in preterm infants

作　　者：陈伟贤[1] 卢琼芳[1] 谭舒宁 吕艳梅[1] 李小芸[1] Chen Weixian et al(Department of Neonatology , Guigang People＇s Hospital, Guigang 537100, China)

机构地区：[1]广西贵港市人民医院新生儿科,537100

出　　处：《齐齐哈尔医学院学报》2017年第14期1721-1723,共3页Journal of Qiqihar Medical University

摘　　要：目的研究早期不同喂养方式对早产儿发生喂养不耐受的影响。方法在早产儿喂养不耐受Logistic多因素分析基础上,制定早产儿早期不同喂养方式,将2013年1月至2015年11月本院出生1 W内的早产儿随机分为常规组、实验组、改进组,比较三组喂养不耐受的发生率、规律饮食建立时间及恢复出生体重时间。结果常规组、实验组、改进组的喂养不耐受发生率分别是15.72%、12.29%、9.66%,差异有统计学意义(P<0.05),且改进组与常规组比较有统计学差异(P=0.005);三组早产儿规律饮食建立时间及恢复出生体重时间均有显著差异,且常规组与实验组、常规组与改进组比较均有统计学差异(P<0.05);三组胎龄<32 W的喂养不耐受发生率均高于同组胎龄≥32 w者(P<0.001),但胎龄<32 W或胎龄≥32 w的喂养不耐受发生率在三组间差异均无统计学意义(P>0.05)。结论对早产儿早期改进喂养方式,可最大限度减少早产儿喂养不耐受,早日建立规律饮食和恢复出生体重。Objective To observe the effect of early feeding on feeding intolerance in preterm infants. Methods On the basis of multifactor analysis of premature feeding intolerance Logistic, the early feeding modes of premature infants were formulated, the preterm infants in ofie week who were born in our hospital from January 2013 to November 2015 were randomly divided into the routine group, the experimental group and the improved group, the incidence of feeding intolerance, regular diet setting time and the recovery time of birth weight were compared among the three groups. Results The incidence of feeding intolerance in the routine group, the experimental group and the improved group were 15.72%, 12.29% and 9.66%, respectively. The difference was statistically significant （ P 〈 0. 05 ） , the difference between the improvement group and the routine group was statistically significant （P= 0.005 ） ; There was a significant difference among the three groups in the regular diet setting time and the recovery time of birth weight, and the difference between the routine group and the experimental group, the routine group and the improvement group was statistically significant （P〈O.05） ; Three groups of gestational age （〈 32W）, the incidence of feeding intolerance were higher than those of the same gestational age group （≥32W） （P〈0.001）, but less than and greater than 32 weeks for gestational age, the incidence of feeding intolerance in three groups had no statistically significant difference （P〉0. 05）. Conclusions Early improvement of feeding methods for premature infants can minimize premature feeding intolerance, establish a regular diet, and resume birth weight at an early date.

关 键 词：早期 不同喂养方式 早产儿 喂养不耐受 

分 类 号：R722.6[医药卫生—儿科]