早产儿十二指肠喂养与鼻胃管喂养的比较.docVIP

15808259825 zhangcuifeng800821@163.com 两种喂养早产儿方法的效果观察 张海英 四川省射洪县沱牌中心卫生院护理部，四川射洪 629209 【摘? 要】目的：探讨十二指肠喂养法和鼻胃管喂养法对早产儿的作用效果。方法：46 例被随机分为。Observation on the effect of two preterm children’s feeding method ZHANG Hai-ying Department of Nursing, The Tuopai Center Hospital of Shehong County, Shehong, Sichuan 629209 【Abstract】Objective: To explore the fficacies of duodenal feeding method and nasogastric tube feeding for preterm children. Method：A total of 46 preterm infants were randomly divided into transpylorie feeding group(n=23)and nasogastrie feeding group(n=23). The feeding associated complications，the body weight gains and the days of hospitalization were recorded and compared between the two groups. Results: There were significantly statistical differences in the feeding associated sequelae，the body weight increments and the hospital days between the two groups (all P0.05). Compared with the nasogastric tube feeding, the transpyloric tube feeding has fewer feeding-associated sequelae．a higher success rate in feedinga more effective method in promoting growth and thus has an important role in the development of premature babies. 【Key words】uodenal feeding method; nasogastric tube feeding method; preterm infants; Complication; nursing 早产儿吸吮、吞咽反射减弱甚至消失，胃肠功能发育不全，经口及胃管直接喂养困难，并发症多。四川省射洪县沱牌中心卫生院护理部自2010年6月至2012年5月间对部分早产儿实行十二指肠喂养，并和鼻胃管喂养法进行比较。 1.1?病例资料 本护理部住院并确诊的46例早产儿，其中男24例，女22例；胎龄27～39周，平均胎龄33.4±2.2周；体重1145～1.2 方法 按数字表法把46例早产儿随机分为鼻胃管喂养组（对照组）23例和十二指肠喂养组（实验组）23例；所有患者家属都代签了医疗知情同意书每次0.3克，每天2次氯雷他定空腹服每次10mg 一天一次～～1.3 疗效判定标准 　 观察两组早产儿每天体重变化情况和并发症，发生情况，如呼吸暂停、吸人性肺炎、呕吐、腹胀、残留奶量、便秘、高胆红素血症，记录早产儿住院天数。 1.4 统计学方法 采用JMTJFX 14.0版医学统计软件，计量资料用±s表示，组间比较用t 检验；计数资料用例和百分率表示，两组无序分类变量间的比较用χ2检验。以P0.05为显著性检验水准，有统计学意义。 2结果 2.1 两组并发症比较见表1。 表1 两组早产儿并发症发生情况比较 组别 例数 呕吐 腹胀 呼吸暂停 吸人性肺炎 残留奶量 高胆红素血症 便秘 对照组 23 16 6 8 9 12 11 7 实验组 23 8 2 3 2 5 4 1 χ2值 - 5.5758 2.4211 2.9870 5.8545 4.5720 4.8473 5.4474 P值 - 0.0182 0.1197 0.0839 0.0155 0.0325 0.0277 0.0196 两组早产儿发生呕吐、吸人性肺炎、、便秘、高胆红素血症和残留奶量比较