系统化喂养管理在极低出生体重早产儿中的应用效果研究  

Effect of systematic feeding management on premature infants with very low birth weight

作　　者：董莉[1] 马繁荣 邹平林[1] DONG Li;MA Fan-rong;ZOU Ping-lin

机构地区：[1]江苏省连云港市妇幼保健院

出　　处：《护理实践与研究》2019年第11期114-116,共3页Nursing Practice and Research

摘　　要：目的探讨系统化喂养管理在极低出生体重早产儿中的应用效果。方法选取2014年1月至2018年3月我院新生儿重症监护室收治的极低出生体重早产儿56例为研究对象,根据喂养管理的不同分为对照组25例和观察组31例,对照组给予常规喂养管理,观察组在对照组的基础上给予系统化喂养管理,比较两组早产儿医院内母乳喂养状况、喂养不耐受情况和并发症的发生率。结果观察组首次接受母乳喂养的日龄早于对照组(P<0.05);1周内和2周内,观察组母乳喂养总量高于对照组(P<0.05);观察组喂养不耐受发生率低于对照组(P<0.05);观察组坏死性小肠结肠炎的发生率低于对照组(P<0.05);两组败血症的发生率比较差异无统计学意义(P>0.05)。结论系统化喂养管理的实施可改善极低出生体重早产儿医院内的母乳喂养状况,减少喂养过程中不耐受情况和坏死性小肠结肠炎的发生,值得临床推广应用。Objective To explore the application effect of systematic feeding management on premature infants with very low birth weight.Methods To select 56 cases of premature infants with very low birth weight who were admitted to the neonatal intensive care unit of our hospital from January 2014 to March 2018 as the study subjects.According to the different feeding management,we divided them into control group with 25 cases and observation group with 31 cases.The control group was given routine feeding management,while on this basis,the observation group was given systematic feeding management.We compared the breastfeeding status,feeding intolerance and complications of the preterm infants in the two groups.Results The days of the infants that received first breast-feeding in the observation group were earlier than that in the control group(P<0.05).Within 1 week and 2 weeks,the total amount of breast-feeding in the observation group was higher than that in the control group(P<0.05).The incidence of feeding intolerance in the observation group was lower than that in the control group(P<0.05).The incidence of necrotizing enterocolitis in the observation group was lower than that of the control group(P<0.05).There was no statistical significance in the comparative difference in the incidence of sepsis between the two groups(P>0.05).Conclusion The implementation of systematic feeding management can improve the breastfeeding status of preterm infants with very low birth weight in hospitals.In addition,it can reduce the intolerance during feeding and the occurrence of necrotizing enterocolitis,which was worthy of clinical promotion and application.

关 键 词：系统化管理 母乳喂养率 不耐受 坏死性小肠结肠炎 败血症 

分 类 号：R473.72[医药卫生—护理学]