早产低出生体重儿鼻饲法喂养护理剖析.docVIP

早产低出生体重儿鼻饲法喂养护理剖析 　　[摘要] 目的 分析早产低出生体重儿采取鼻饲法喂养的护理效果与要点。 方法 将我院收治的64例早产低出生体重儿随机分对照组与鼻饲组，每组各32例。对照组采取经口滴管喂养，鼻饲组采取鼻饲喂养，对比两组患儿的成活率、体重变化情况及住院时间。 结果 对照组患儿存活率为65.63%，鼻饲组患儿存活率为87.50%，鼻饲组患儿存活率明显高于对照组（P ＜ 0.05）；鼻饲组患儿10 d时体重与住院时间两项观察指标也显著优于对照组（P ＜ 0.01）。 结论 尽早开展鼻饲喂养可有效提高患儿存活率，缩短住院时间，促进患者体重增长。 　　[关键词] 早产儿；低体重儿；鼻饲喂养；护理分析 　　[中图分类号] R473.72 [文献标识码] C [文章编号] 1673-7210（2012）02（b）-0121-02 　　 　　The care analysis of nasal feeding for preterm low birth weight children 　　LIN Biyun 　　Department of Pediatrics, the Peoples Hospital of Jiangmen City, Guangdong Province, Jiangmen 529000, China 　　[Abstract] Objective To analyze the care effect and points of nasal feeding for preterm low birth weight children. Methods 64 cases of premature low birth weight children admitted into our hospital were randomly divided into control group and nasal group, control group was given mouth dropper feeding, nasal group was given nasogastric feeding, the survival rate、weight changes and hospital stay of two groups were compared. Results The survival rate of control group was 65.63%，the nasal group was 87.50%，the survival rate of nasal groups was significantly higher than control group (P ＜ 0.05); Two observed indicators of the body weight and hospital stay of nasal group children when10 d were also significantly better than the control group (P ＜ 0.01). Conclusion As soon as possible to carry out nasal feeding can effectively improve the survival of children, shorter hospital stay, promote weight gain in patients. 　　[Key words] Premature children; Low birth weight children; Nasogastric feeding; Care analysis 　　 　　早产儿因解剖与生理功能尚未发育成熟，吸吮与吞咽能力较弱甚至丧失，所以无法耐受直接经口喂养[1]。然而早产儿特别是低出生体重儿对于营养的需求又比较高[2]。因此临床中多采取鼻饲喂养，以保证患儿的营养供给。为分析鼻饲喂养的护理效果与护理要点，本院对64例早产低出生体重儿进行了分组对比分析，现将具体情况报道如下： 　　1 资料与方法 　　1.1 一般资料 　　本次入选资料为我院2008年1月～2010年1月收治的64例早产低出生体重儿，病例选择标准为胎龄≤37周，出生体重≤2 500 g的新生儿[3]。将全部患儿随机分为对照组与鼻饲组，每组各32例。对照组中男21例，女11例；胎龄为30～37周，平均（33.43±3.56）周；出生体重为1 400～2 300 g，平均（1 796.46±302.76）g。鼻饲组中男19例，女13例；胎龄为30～36周，平均（32.96±