不同体位鼻饲喂养早产儿对生长发育的影响  

Effects of nasal feeding on growth and development of premature infants in different postures

作　　者：刘南石妹 聂莉莉 曾香连 黄红敏 LIU Nan-Shi Mei;NIE Li-Li;ZENG Xiang-Lian(Department of Neonatology,Yuebei People's Hospital,Shaoguan 512026,Guangdong,China.)

机构地区：[1]粤北人民医院新生儿科,广东韶关512026

出　　处：《吉林医学》2024年第1期202-204,共3页Jilin Medical Journal

基　　金：韶关市卫生健康科研项目[项目编号:Y20241]。

摘　　要：目的:探讨早产儿应用不同体位鼻饲喂养对生长发育的影响。方法:选取2020年1月~2021年10月粤北人民医院195例早产儿作为本次研究对象,按照不同体位鼻饲喂养方式分为左侧卧位组以及右侧卧位组、俯卧位组,每组各65例,分别对三组早产儿实施左右卧位以及俯卧位,对三组早产儿生长发育情况进行详细记录。结果:俯卧位组头围增长以及身高增长、体重增长情况优于左侧卧位组与右侧卧位组,差异有统计学意义(P<0.05);俯卧位组腹胀次数、胃残奶次数、呕吐次数以及血氧下降次数(5.00%、5.00%、7.50%、5.00%)低于左侧卧位组(22.50%、25.00、27.50%、25.00%)与右侧卧位组(20.00%、20.00、22.50%、22.50%),差异有统计学意义(P<0.05);俯卧位组光疗时间及黄疸持续时间短于左侧卧位组与右侧卧位组,差异有统计学意义(P<0.05)。结论:早产儿采用俯卧位鼻饲喂养能够进一步促进身高增长、体重增长情况,缩短光疗时间及黄疸持续时间,避免腹胀、胃残奶、呕吐以及血氧下降等情况发生。Objective To investigate the effects of nasal feeding in different postures on the growth and development of premature infants.Method 195 premature infants from January 2020 to October 2021 at the People's Hospital of North Guangdong were selected as the study subjects,they were divided into left lateral position group,right lateral position group and prone position group according to different postures,each group had 65 cases,Implement left and right lying positions and prone positions for three groups of premature infants,and record in detail the growth and development of the three groups of premature infants.Results The growth of head circumference,body height and body weight in prone position group was better than that in left and right prone position group(P<0.05);The Times of Abdominal distension,gastric milk residue,vomiting and decrease of blood oxygen(5.00%,5.00%,7.50%,5.00%)in prone position group were lower than those in left-lateral position group(22.50%,25.00,27.50%,25.00%)and right-lateral position group(20.00%,20.00,22.50%,22.50%)(P<0.05);The duration of phototherapy and jaundice in prone position group was shorter than that in left lateral position group and right lateral position group(P<0.05).Conclusion Nasal feeding in prone position can further promote the growth of body height and weight,shorten the duration of phototherapy and jaundice,and avoid abdominal distension,residual milk in stomach,vomiting and hypoxemia.

关 键 词：早产儿 不同体位 生长发育 鼻饲喂养 体重增长 头围 身高 

分 类 号：R473.72[医药卫生—护理学]