Children with very low birth weight on early feeding and gastrointestinal dysfunction.docVIP

 PAGE \* MERGEFORMAT 9 Children with very low birth weight on early feeding and gastrointestinal dysfunction [Keywords: early feeding very low birth weight children gastrointestinal injury Gastrointestinal function in very low birth weight children are constantly subjected to damage, such as improper feeding the damage may be aggravated or induced, appears gastric retention, nausea, vomiting, abdominal distension, stress ulcer, or even necrotizing enterocolitis. Therefore, this type of risk When children open to feed milk and how to conduct pediatric workers in many issues of concern for the children of very low birth weight between early feeding and gastrointestinal function, are as follows. Subjects and methods 1. Target: June 2004 ~ June 2008 in the course of 100 patients hospitalized very low birth weight children (within 1 h of birth weight lt;1 500 g of live births [1]). Excluded from the digestive tract malformation, congenital disease in children. male 60, female 40 cases. ≦ 37 weeks gestational age in preterm children (gestational agegt; 34 weeks 30 cases, “34 weeks 20 cases) 50 cases, gestational agegt; 37 weeks of full-term children (child agegt; 38 weeks of 30 cases, “38 weeks in 20 cases) 50 cases of gestational weeks at birth were divided into groups and micro-feeding on demand feeding group, 50 patients, 2 groups of gender, gestational age, birth weight, Apgar score, maternal perinatal conditions, the difference was not significant (Pgt; 0.05). 2. Feeding methods: All patients received conventional therapy after admission, including rehydration, warmth and prevent infection. First fasting 4 h, with stable vital signs, the first to be non-nutritive sucking (such as pacifier sucking), to observe the sucking reflection, coordination of swallowing function to decide whether to open milk. if swallowed, the first nasal feeding or feeding 5% glucose 3 ~ 5 ml, observed 2 h after no vomiting or abdominal distension, then start feeding. feed