新生儿早产喂养不耐受的相关因素分析及防护对策  

Related factors and protective measures of feeding intolerance in premature infants

作　　者：张盈盈 高云霞[1] 郭倩 方源 Zhang Yingying;Gao Yunxia;Guo Qian;Fang Yuan(Department of Pediatrics,First Hospital,Nanyang Medical College,Nanyang 473000,China)

机构地区：[1]南阳医学高等专科学校第一附属医院儿科,473000

出　　处：《国际医药卫生导报》2020年第22期3491-3493,共3页International Medicine and Health Guidance News

摘　　要：目的调查新生儿早产喂养不耐受的主要因素,为临床实施护理干预提供重要依据。方法选取2019年1月至2020年1月本院早产新生儿168例,收集新生儿的一般资料和临床信息,统计其喂养不耐受的发生率,将喂养不耐受早产新生儿分为发生组(n=35),喂养耐受早产新生儿分为未发生组(n=133),并采用多因素logistic回归法分析影响早产新生儿不耐受的主要因素。结果纳入的168例新生儿中,有35例出现喂养不耐受,发生率为20.83%;经多因素logistic回归法分析呼吸窘迫综合征、生后48 h持续正压通气、生后48 h应用枸橼酸咖啡等均为早产新生儿喂养不耐受的主要因素。结论呼吸窘迫综合征、生后48 h持续正压通气、生后48 h应用枸橼酸咖啡均为早产新生儿喂养不耐受的主要因素,临床护理应根据上述因素,采取相应的防护对策,从而减少早产新生儿喂养不耐受的发生。Objective To investigate the main factors of feeding intolerance in premature infants,and to provide important evidences for clinical nursing intervention.Methods From January,2019 to January,2020,168 preterm neonates were enrolled in this hospital.The general data and clinical information were collected;and the incidence of feeding intolerance was analyzed.The neonates with feeding intolerance were set as an occurring group(n=35);the neonates with feeding tolerance were set as a non-occurring group(n=133).The main factors affecting intolerance were analyzed by multiple logistic regression.Results Of the 168 newborns,35(20.83%)developed feeding intolerance.Respiratory distress syndrome,continuous positive airway pressure(CPAP)48 h after birth,and taking coffee citrate 48 h after birth were the main factors of feeding intolerance in the preterm neonates.Conclusion Respiratory distress syndrome,continuous positive pressure ventilation 48 hours after birth and coffee citrate application 48 hours after birth were the main factors of feeding intolerance in preterm neonates;therefore,corresponding protective measures should be taking to reduce the incidence of feeding intolerance in premature infants.

关 键 词：新生儿 早产 喂养不耐受 因素分析 

分 类 号：R722.6[医药卫生—儿科]