早产儿微量喂养在临床中的应用分析.docVIP

早产儿微量喂养在临床中的应用分析 　　doi：10.3969/j.issn.1007-614x.2014.20.48 　　摘 要 目的：观察微量喂养对早产儿的临床效果。方法：将60例早产儿随机分为对照组和微量喂养组，每组30例，微量喂养组于出生后4～26天开始微量喂养并静脉联合营养，对照组采用静脉营养至病情较稳定后再开始喂养，胃肠喂养开始时间最早为2天。观察两组达到完全胃肠喂养所需的时间、应用静脉营养时间、住院时间、是否有坏死性小肠炎等。结果：两组恢复出生体重时间差异无统计学意义（P0.05）。微量喂养组达完全胃肠喂养所需的时间、静脉营养时间及住院时间均短于对照组，差异有统计学意义（P0.01）。且微量喂养组喂养不耐受发生率低于对照组，差异有统计学意义（P0.01）。结论：早期微量喂养可缩短完全胃肠喂养所需的时间、静脉营养时间及住院时间，同时可减少喂养不耐受发生。 　　关键词 早产儿 微量喂养 临床效果 　　Application analysis of minimal feeding of preterm infants in clinic 　　Chen Fangfang，Wang Jinxian 　　The Second Peoples Hospital of Danyang City（the Maternal and Child Health Hospital of Danyang City），Jiangsu 312300 　　Abstract Objective：To observe the clinical effect of minimal feeding in preterm infants.Methods：60 cases of preterm infants were randomly divided into the control group and the minimal feeding group with 30 cases in each.The minimal feeding group were given minimal feeding and intravenous nutrition in 4 to 26 days after birth.The control group were given intravenous nutrition.When the illness was stable，the control group were given gastrointestinal feeding.The earliest start time of feeding was two days.The required time of gastrointestinal feeding completely，the time of applying intravenous nutrition，hospitalization time，whether there was necrotic enteritis of the two groups were observed.Results：The time of restoring birth weight of children in the two groups had no significant difference（P0.05）.The required time of gastrointestinal feeding completely，the time of applying intravenous nutrition，hospitalization time of the minimal feeding group were shorter than those of the control group.The difference was statistically significant（P0.01）.The incidence of feeding intolerance in the minimal feeding group was lower than that of the control group.The difference was statistically significant（P0.01）.Conclusion：The early minimal feeding can shorten the required time of gastrointestinal feeding completely，the time of intravenous nutrition，and hos