Probiotics and infant massage the treatment of feeding intolerance in preterm children Efficacy.doc

 PAGE \* MERGEFORMAT 8 Probiotics and infant massage the treatment of feeding intolerance in preterm children Efficacy [Abstract] Objective To observe the probiotics in preterm children and infant massage effect of feeding intolerance. Methods All the patients were randomly divided into two groups, the treatment group 22 cases, 13 males and 9 females; the control group of 19 patients, 12 males and 7 females. two groups were given intermittent nasogastric tube feeding; using the same formula feeding premature children in particular; early opening of milk, at 12 ~ 36 h after birth, start feeding, start small, start 1 ~ 2 ml / second , 1 / 2 h, daily increments 1 ~ 2 ml, supporting parenteral nutrition, infusion of the first day after birth, 5% glucose solution, the next day children infusion of amino acids, fat emulsion, the dose from 0.5 g / (kg · d) start every day to increase 0.5 g / kg, gradually increased to 3 g / (kg · d), intravenous fluid volume into the two groups had no difference in the total amount of liquid the first day of 50 ml / kg, at 10 ~ 15 ml / ( kg · d) increased until 120 ~ 150 ml / (kg · d); that there is no tolerance of conventional treatment: to exclude necrotizing enterocolitis, milk should be reduced by 2 ~ 4 ml or stop to feed 1 or 2 times, bowel movements do not Chang enema to purge those who have advanced to the metabolic acidosis were corrected acid treatment. the treatment group were treated based on the use of probiotics orally: 0.5 g / (kg · times), 3 times a day, the United babies ask touch therapy (including abdominal massage and pediatric chiropractic), twice a day, every 30 min. This treatment continued until patients could tolerate enteral nutrition one week later. results monitoring the disappearance time of abdominal distension, gastric retention time of disappearance , the required return to birth weight, age, 4 weeks of milk, adequate parenteral nutrition days. the treatment group and control group difference was sign