初期综合干预在喂养不耐受的低体重患儿喂养情况及生长状况中的应用  

Application of initial comprehensive intervention on feeding and growth status of low body weight children with feeding intolerance

作　　者：环亚勤 周静侠 张伶俐[1] HUAN Yaqin;ZHOU Jingxia;ZHANG Lingli(Pediatric District 2(Neonatal Room),Rugao People’s Hospital,Jiangsu Province,Rugao 226500,China)

机构地区：[1]江苏省如皋市人民医院儿科二区(新生儿室),江苏如皋226500

出　　处：《中国医药导报》2023年第17期174-177,共4页China Medical Herald

基　　金：江苏省卫生健康委项目(LGY2019009)。

摘　　要：目的探究初期综合干预对喂养不耐受的低体重患儿喂养情况及生长状况的应用分析。方法选择江苏省如皋市人民医院2018年4月至2022年3月收治的78例低体重患儿作为研究对象,按照随机数字表法分为两组,每组各39例。对照组采用常规喂养护理,观察组在对照组基础上应用早初期综合干预。比较两组患儿喂养不耐受时间、恢复到出生体重所需要的时间、达到足量胃肠喂养时间、生长状况。结果观察组喂养不耐受持续、恢复出生体重、达到足量胃肠喂养时间短于对照组,差异有统计学意义(P<0.05)。观察组呕吐消失、腹泻消失、胃潴留消失时间短于对照组,差异有统计学意义(P<0.05)。干预后,两组体重、身长、头围高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论针对喂养不耐受的低体重儿实施初期综合干预护理,可有效改善患儿胃肠功能的吸收,进而降低喂养不耐受出现的时间,快速恢复到出生体重,促进患儿的生长状况,值得临床推广采纳。Objective To explore the application analysis of initial comprehensive intervention on feeding and growth status of low body weight children with feeding intolerance.Methods A total of 78 children with low body weight were selected from the Rugao of People’s Hospital,Jiangsu Province from April 2018 to March 2022.They were divided into two groups according to random number table method,with 39 cases in each group.The control group was treated with routine feeding nursing,while the observation group was treated with early and initial comprehensive intervention on the basis of the control group.The feeding intolerance time,the time needed to recover to birth weight,the time to achieve sufficient gastrointestinal feeding and the growth status of the two groups were compared.Results The duration of feeding intolerance,recovery of birth weight,and adequate gastrointestinal feeding in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The disappearance time of vomiting,diarrhea and gastric retention in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the body weight,body length,and head circumference of the two groups were higher than before intervention,while those of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion Early comprehensive intervention nursing for low body weight infants with feeding intolerance can effectively improve the absorption of gastrointestinal function,reduce the time of occurrence of feeding intolerance,quickly recover to birth weight,and promote the growth of children,worthy of clinical promotion and adoption.

关 键 词：初期综合干预 喂养不耐受 低体重患儿 喂养情况 生长状况 

分 类 号：R473[医药卫生—护理学]