常乐康联合抚触对HIV母婴阻断新生儿喂养不耐受的疗效及生长发育的影响  

The Effect of Changlekang Combined with Stroking on Feeding Intolerance and Growth and Development of HIV Mother-infant-blocked Neonates

作　　者：闵宇懿 马丙南 MIN Yu-yi;MA Bing-nan(Guangzhou Eighth Pepole’s Hospital,Guangzhou,Guang-dong,510000,China.)

机构地区：[1]广州市第八人民医院,广东广州510000

出　　处：《黑龙江医学》2022年第14期1691-1693,共3页Heilongjiang Medical Journal

基　　金：广东省卫生和计划生育委员会医学科学研究基金(B2018166)。

摘　　要：目的:观察常乐康联合抚触对HIV母婴阻断新生儿喂养不耐受的疗效及生长发育的影响研究。方法:选择2017年1月—2019年1月在广州市第八人民医院出生的符合喂养不耐受诊断标准的80例HIV母婴阻断新生儿作为研究对象,采用随机抽样法分为观察组47例与对照组33例。对照组实施常规对症治疗,观察组加常乐康制剂联合抚触治疗。比较两组患者临床疗效、胃肠功能、生长发育指标及不良反应发生情况。结果:观察组治疗总有效率明显高于对照组;观察组每日进奶量、奶量增加速度大于对照组,完全经口喂养时间、初次排便时间、胎便排尽时间小于对照组;观察组恢复出生体质量日龄短于对照组,第14 d头围增长、体重增长大于对照组;观察组便秘、腹泻、高胆红素血症、新生儿坏死性小肠结肠炎(NEC)发生率低于对照组。结论:常乐康联合抚触治疗HIV母婴阻断新生儿喂养不耐受效果显著,改善胃肠功能,促进生长发育,减少不良反应。Objective:To observe the effect of Changlekang combined with stroking on HIV mother-infant blocking neonatal feeding intolerance and the effect on growth and development.Methods:A total of 80 neonates born in the hospital from January 2017 to January 2019 who met the diagnostic criteria for feeding intolerance were selected and randomly divided into the observation group of 47 cases and the control group of 33 cases.The control group was treated with conventional symptomatic treatment,and the observation group was treated with Changlekang preparation combined with caressing treatment.The clinical efficacy,gastrointestinal function,growth and development indexes and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of treatment in the observation group was significantly higher than that in the control group.The daily milk intake and the increase rate of milk volume in the observation group were higher than those in the control group.The complete oral feeding time,the first defecation time,and the meconium excretion time in the observation group were shorter than those in the control group.The days of birth weight recovery in the observation group were shorter than those in the control group,and the increase in head circumference and body weight on the 14th d was greater than that in the control group.The incidences of constipation,diarrhea,hyperbilirubinemia and neonatal necrotizing enterocolitis(NEC)in the observation group were lower than those in the control group.Conclusion:Changlekang combined with stroking has a significant effect on HIV mother-infant blocking neonatal feeding intolerance,improving gastrointestinal function,promoting growth and development,and reducing adverse reactions.

关 键 词：常乐康 抚触 HIV母婴阻断 新生儿 喂养不耐受 生长发育 

分 类 号：R51[医药卫生—内科学]