简易喂养法在早产儿及低出生体重儿的应用研究  

Applied research of simple and easy feeding method for premature and low body weight Infant

作　　者：王俊霞[1] 王春雪[1] 徐桂芝[1] 李建平[1] 

机构地区：[1]河北医科大学附属第四医院儿科,河北石家庄050011

出　　处：《护士进修杂志》2004年第1期14-16,共3页Journal of Nurses Training

摘　　要：目的通过简易喂养法在早产儿及低出生体重儿的应用 ,以期探讨一种新的喂养方法 ,既能避免静脉营养的高昂费用及经鼻、经口胃管喂养的某些弊端 (如影响患儿肺功能等 ) ,又能有利于患儿胃肠功能恢复及生长发育。方法设简易喂养法组为观察组 ,同期应用其它方法组为对照组 ,观察两组患儿肠鸣音正常与否 ,有无腹胀发生 ,胎便排出情况 ,黄疸持续时间及体重增长 (从出生第 7天开始到出院平均每日增长克数 )情况。结果肠鸣音正常、未发生腹胀者观察组 2 6例 ,占 86 7% ,对照组 2 6例 ,占 74 2 % ,两组有显著性差异 (P <0 0 5 ) ;胎便排尽时间观察组平均 7 4 7天 ,对照组平均 7 1 4天 ,黄疸持续时间观察组平均 9 5 3天 ,对照组平均 1 3 91天 ;体重增长观察组平均每天 1 1 78g ,对照组平均每天 9 1 5 g ;平均住院时间观察组 1 4 5天 ,对照组 1 8 2 6天。结论简易喂养法对早产儿及部分低出生体重儿较静脉营养费用低 ,较经鼻、经口胃管喂养经济方便 ,效果好 ,且能促进患儿胃肠功能恢复及生长发育 ,减少胃肠道并发症的发生 。Objective To study simple and easy feeding method for premature and low body weight infant for improving the growth and development, and reduce cost and avoid the damage of nasal tube feeding (for example lung function), Method Infant were divided into observation group ( fed by simple method) and control (fed by other method ), these indicators, such as bowel sound, abdominal distention, discharge of meconium, weight gain and jaundice, were selected for comparison between the two group. Result The rate of normal biowel sound and no abdominal distention were 86.7% and 74.2% for observation group and control group respectively. There is significant difference between the two group ( P <0.05). Average days for discharge of meconium is 7.47 days for obsetvation group, 7.14 days for control group. Average continuance Jaundice time is 9.53 days, and average days for hospitalization is 14.5 days for observation group and 18.26 days for control group. Conelusion simple feeding method is cheap, convenient and effectiveness method for infant feeding compared with nasal feeding and venous feeding, and its' helpful in improving infant's health and development, reducing intestinal complication and days for hospitalization.

关 键 词：早产儿 低出生体重儿 喂养 

分 类 号：R473.72[医药卫生—护理学]