早期营养管理促进早产儿智力发育与体格发育的价值分析  

Analysis of Value of Early Nutrition Management in Promoting the Intelligence Development and Physical Development of Premature Infants

作　　者：侯翠萍[1] HOU Cui-ping(NICU,Heze Municiple Hospital,Heze,Shandong Province,274000 China)

机构地区：[1]菏泽市立医院NICU,山东菏泽274000

出　　处：《中国卫生产业》2018年第11期17-18,21,共3页China Health Industry

摘　　要：目的探讨早期营养管理促进早产儿智力发育与体格发育的作用。方法就该院2015年1月—2017年1月期间新生儿科收治的268例早产儿临床资料进行回顾性分析,其中134例接受常规健康检查和保健服务,其余134例接受早期营养管理。随访1年,根据婴儿智力发育对照表和营养不良、身高体重标准对早产儿发育情况进行评价,比较两组早产儿的智力和体格发育情况。结果从每月检测的大动作、精细动作、适应能力、语言、社交行为的智力发育项目上来看,观察组早产儿均显著优于对照组,差异有统计学意义(P<0.05)。1岁时,观察组患儿身高、体重情况均显著高于对照组患儿,且1岁期间营养不良发生率显著低于对照组,差异有统计学意义(P<0.05)。结论通过制定个性化的肠内及肠外营养方案,做好智力发育及体格发育的动态监测,及时处理早产儿各种并发症,实施早期营养管理是促进早产儿智力与体格正常发育的有效措施。Objective To study the effect of early nutrition management in promoting the intelligence development and physical development of premature infants. Methods 268 cases of premature infants admitted and treated in our hospital from January 2015 to January 2017 were selected, and divided into two groups with 134 cases in each, respectively treated with routine health examination and healthcare service and early nutrition management, after 1-year follow-up, the development of premature infants was evaluated according to the intelligence development reference table, malnutrition and height and weight standards, and the intelligence development and physical development of premature infants were compared between the two groups. Results The intelligence development items such as major move, refined move, adaption ability, language, social behavior tested each month in the observation group was obviously better than that in the control group,and the difference was statistically significant（P〈0.05）, and the height and weight in the observation group at the age of 1was obviously higher than that in the control group, and the incidence rate of malnutrition during 1 year was obviously lower than that in the control group, and the difference was statistically significant（P〈0.05）. Conclusion The formulation of individualized enteral and parenteral nutrition plans, doing well in the dynamic monitoring of intelligence development and physical development, timely treatment of various complications of premature infants and implementation of early nutrition management are the effective measures of promoting the normal intelligence development and physical development of premature infants.

关 键 词：早期营养管理 早产儿 智力发育 体格发育 

分 类 号：R722.6[医药卫生—儿科]