胎龄对超低出生体重儿肠内喂养状况的影响研究  

The Effect of Gestational Age on the Enteral Feeding Status of Ultra-Low Birth Weight Infants

作　　者：胡爱玲 何庆祥 闫海娜 Hu Ailing;He Qingxiang;YanHaina(Department of Neonatology,Anyang Maternal and Child Health Hospital,Anyang 455000,Henan)

机构地区：[1]安阳市妇幼保健院新生儿科,河南安阳455000

出　　处：《哈尔滨医药》2025年第1期41-43,共3页Harbin Medical Journal

摘　　要：目的探讨胎龄对超低出生体重儿肠内喂养状况的影响。方法选取超低出生体重儿60例为研究对象,采用内对照方式根据胎龄(≥28周,<28周)分为A组和B组。记录两组开奶量及不同时间奶量;比较两组喂养不耐受的发生情况及住院时间、出院体重。结果两组患儿开奶量、产后5d及出院时奶量,产后1周内喂养不耐受的发生率差异无统计学意义(P>0.05),产后15d和21d,A组奶量较高,产后1~2周内喂养不耐受的较低,患儿的住院时间较短,出院时体重较大;出生后第1~4周腹部局部组织氧饱和度(A-rSO2)水平较高(P<0.05)。结论胎龄对超低出生体重儿影响较大,胎龄越小,患儿越易发生肠内喂养不耐受,临床可根据胎龄适当调整喂养模式。Objective To investigate the effect of gestational age on enteral feeding status of ultra-low birth weight infants.Methods 60 cases of ultra-low birth weight infants were selected as the study subjects.They were divided into group A and group B according to gestational age(≥28 weeks,<28 weeks)by using internal control.The amount of milk started and the amount of milk at different times were recorded,and the incidence of feeding intolerance,hospitalization time and discharge weight were compared between the two groups.Results There was no statistical difference in the incidence of feeding intolerance between the two groups in terms of the amount of milk started,the amount of milk at 5d postpartum,and the amount of milk at the time of discharge from the hospital within 1 week postpartum(P>0.05).The amount of milk was higher in group A at 15d and 21d postpartum,and the amount of feeding intolerance was lower in the period of 1-2 weeks postpartum.The length of hospitalization of the children was shorter,and the children had a higher body weight at the time of discharge from the hospital.The localized tissue oxygenation in the abdomen in the first four weeks of postnatal life(A-rSO2)levels were higher(P<0.05).Conclusion Gestational age has a great influence on ultra-low birth weight infants,and the younger the gestational age,the more likely the infants to develop enteral feeding intolerance,so the clinic can adjust the feeding pattern according to the gestational age.

关 键 词：胎龄 超低出生体重儿 肠内喂养 喂养耐受性 开奶量 

分 类 号：R722[医药卫生—儿科]