早产儿胃肠喂养开始时间的临床研究  

The clinical study on earlier and later enteral feeding in premature infants

作　　者：袁惠华[1] 黎小秀[1] 张雪宇[1] 

机构地区：[1]广东省东莞市妇幼保健院,523002

出　　处：《中国航天医药杂志》2004年第1期24-25,共2页Medical Journal of CASE

摘　　要：目的探讨早产儿开始胃肠喂养的时间。方法对新生儿科收治的38例早产儿(出生体重1100～1950g),随机分为早开始(≤6d)胃肠喂养组和晚开始(≥7d)胃肠喂养组,用同一配方乳喂养。记录达足量喂养日龄、住院天数、高胆红素血症、喂养不耐受的结果。结果早开始胃肠喂养组达足量喂养日龄犤(28.6±10.8)d犦和住院天数犤(39.6±11.8)d犦与晚开始胃肠喂养组日龄犤(40.6±15.8)d犦和住院天数犤(53.8±16.5)d犦比较,差异有显著性意义(P<0.05),早开始胃肠喂养较晚开始胃肠喂养高胆红素血症、喂养不耐受情况显著减少(P<0.05)。结论对于早产儿,出生后6天内尽可能早地开始胃肠喂养,有利于胃肠功能成熟,缩短住院时间,减少并发症。Objective To investigate the effect on the time of full enteral feeding, hospitalized days, hyperbilirubinemid, feeding intolerance in premature infants with earlier and later enteral feeding in premature infants. Methods The study was carried out in 38 premature infants (birth weight 1 100g～1 950g). They were randomly divided into earlier enteral feeding and later groups. It was recorded that the time of full enteral feeding hospitalized days and Hyperbilirubinemia and feeding intolerance. Results There was significant difference in two groups about the attaining time of full erteral feeding and hospitalized days (P<0.05). The incidence of hyperbilirubinemia and feeding intolerance were remarkablely lower in earlier enteral feeding group than that in later enteral feeding group (P<0.05). Conclusion The earlier enteral feeding should be commenced as soon as possible during the first 6 days of life. It can promote gastrointestinal maturation, reduce hospitalized days and complication.

关 键 词：早产儿 胃肠喂养 喂养时间 营养支持 新生儿 

分 类 号：R722.6[医药卫生—儿科]