早产极低出生体重儿采用早期间歇持续微量 喂养的临床观察及护理.docVIP

早产极低出生体重儿采用早期间歇持续微量 喂养的临床观察及护理 　　摘要:目的：观察用早期间歇持续微量喂养早产极低出生体重儿的临床效果及护理干预。方法：将60例入院治疗的早产极低出生体重儿随机分为两组，对照组和观察组，每组30例。对照组患儿出生24 h后进行常规胃管喂养及护理，观察组在常规胃管喂养的基础上对患儿出生后24 h内联合间歇持续微量喂养并加强护理干预，对比观察两组患儿在治疗后喂养不耐受率和体重的恢复情况。结果：观察组喂养的不耐受率、体重恢复时间均显著低于对照组，差异具有显著性的意义（P0.05）。结论：常规胃管联合间歇持续微量喂养能显著提高早产极低出生体重儿的喂养耐受性，加强护理干预，能改善患儿的各项生理指标，有效的减少并发症的发生。 　　关键词:极低出生体重儿；早期；间歇；持续；微量喂养 　　Abstract :Objective: To observe the early intermittent continuous trace feeding of very low birth weight premature clinical effect and nursing intervention. Methods: 60 cases of hospitalized preterm low birth weight were randomly divided into two groups, control group and observation group, 30 cases in each group. Control group of children born after 24 h routine nasogastric tube feeding and nursing, observation group on the basis of routine gastric tube feeding for children born within 24 h after joint intermittent continuous micro feeding and strengthen the nursing intervention, compared two groups after treatment in children with feeding intolerance rate and the weight of the recovery. Results: Observation group feeding intolerance rate, weight recovery time were significantly lower than the control group, with significant difference significance (P0.05). Conclusion: Routine gastric tube joint intermittent continuous trace feeding preterm low birth weight can obviously improve the feeding tolerance, strengthen the nursing intervention, can improve the patients physiological indicators, effectively reduce the occurrence of complications. 　　Key words :The very low birth weight; Early; Intermittent; Continue; Trace feeding 　　极低出生体重儿(VLBWI)的体质量在1000～1499g、胎龄33周[1]。由于过早的出生，VLBWI的胃肠功能不健全，胃肠激素水平低，各项功能指标极其低下 [2]。笔者采用常规胃管喂养联合早期间歇持续微量喂养的方法，完善护理方式，来弥补单纯用常规胃管喂养方法的不足，现将结果总结报告如下： 　　1资料与方法 　　1.1临床资料 　　选择2008年8月～2010年8月期间我院的早产极低出生体重儿60例，按照抽签的方法随机分为两组，对照组和观察组，每组30例。两组患儿均排除消化道畸形、严重心肺功能不全及不适合本实验所用到的喂养方法等。对照组男17例，女13例，体质量(1347±182) g，胎龄(30.2±1.4) 周；对照组男16，女14例，体质量(1293±205) g，胎龄(30.4±1.2) 周。两组患儿在体质量、胎龄、性别等基本情况方面没有明显的差异，具有