母乳喂养联合腹部按摩治疗窒息后新生儿喂养不耐受的效果观察  

The Effect of Breastfeeding Combined With Abdominal Massage in the Treatment of Neonatal Feeding Intolerance After Asphyxia

作　　者：蔡静 CAI Jing(Department of Neonatology,Xiamen Maternal and Child Care Hospital,Women and Children’s Hospital,School of Medicine,Xiamen University,Xiamen Fujian 361003,China)

机构地区：[1]厦门大学附属妇女儿童医院/厦门市妇幼保健院新生儿科,福建厦门361003

出　　处：《中国卫生标准管理》2021年第18期75-78,共4页China Health Standard Management

摘　　要：目的探究与分析母乳喂养联合腹部按摩治疗窒息后新生儿喂养不耐受的效果观察。方法选取我院自2018年3月—2020年3月收治的窒息后喂养不耐受患儿90例,采取随机数字表法分为对照组与观察组,各45例,对照组给予常规母乳喂养,观察组在对照组基础上加用腹部按摩,对比两组患儿临床效果、进食奶量、体质量增长、大便次数及到达全肠道喂养时间、治疗前后血清指标变化、同时记录患者在治疗期间的并发症。结果观察组临床总有效率高于对照组,组间差异具有统计学意义(P<0.05)。观察组与对照组相比进食奶量多、体质量增长快、大便次数多、到达全肠道喂养时间短,组间差异具有统计学意义(P<0.05)。两组治疗后与治疗前相比总胆红素水平降低、前清蛋白及清蛋白水平升高,观察组治疗后与对照组治疗后相比上述指标改善更加显著,差异具有统计学意义(P<0.05)。两组并发症发生率差异无统计学意义(P>0.05)。结论母乳喂养联合腹部按摩治疗窒息后新生儿喂养不耐受的效果显著,可改善患儿的营养相关指标,快速恢复体质量,同时并不会增加并发症发生率,可确保安全性。Objective To investigate and analyze the effect of breastfeeding combined with abdominal massage in the treatment of neonatal feeding intolerance after asphyxia.Methods Select our hospital from March 2018 to March 2020 were suffocated after feeding intolerance,90 cases of children,take a random number table method was divided into control group and observation group,45 cases in each group,control group given conventional breastfeeding,observation group in the control group on the basis of combined with abdominal massage,compared two groups of children with clinical effect,eating milk,body quality increase,defecate frequency and to reach full enteral feeding time,before and after treatment serum index changes,at the same time,record the patient during the treatment of complications.Results The total clinical effective rate in the observation group was higher than that in the control group,and the difference between the two groups was statistically significant(P<0.05).Compared with the control group,the observation group had more milk intake,faster body mass growth,more frequent stools,and shorter feeding time to the whole intestine,with statistically significant differences between groups(P<0.05).After treatment,the total bilirubin level and the prealbumin and albumin levels of the two groups were decreased,and the improvement of the above indicators was more significant in the observation group than in the control group,with statistical significance(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Breast feeding combined with abdominal massage has a significant effect on neonatal feeding intolerance after asphyxia,which can significantly improve nutrition-related indicators of children,quickly recover body quality,and not increase the incidence of complications,thus ensuring safety.

关 键 词：母乳喂养 腹部按摩 新生儿 喂养不耐受 进食奶量 体质量 

分 类 号：R714[医药卫生—妇产科学]