双歧杆菌三联活菌联合温盐水灌肠治疗早产儿喂养不耐受的效果.docxVIP

双歧杆菌三联活菌联合温盐水灌肠治疗早产儿喂养不耐受的效果 　　[摘要]目的探讨双歧杆菌三联活菌联合温盐水灌肠治疗早产儿喂养不耐受的效果。方法选取我院2018年8月～2019年8月收治的84例确诊为喂养不耐受的早产儿作为研究对象，按照随机数字表法分为观察组（42例）和对照组（42例）。对照组采用双歧杆菌三联活菌治疗，观察组采用双歧杆菌三联活菌联合温盐水灌肠治疗。比较两组治疗后喂养不耐受情况、胎便排完日龄、体重增长情况、达全奶量喂养日龄及不良反应发生情况。结果观察组出生后72h、15d喂养不耐受总发生率低于对照组;观察组胎便排完日龄、达全奶量喂养日龄短于对照组;观察组出生后体重增长大于对照组（p0.05）。两组不良反应总发生率比较，差异无统计学意义（p0.05）。结论双歧杆菌三联活菌联合温盐水灌肠应用于喂养不耐受早产儿中，有利于改善喂养不耐受情况，缩短胎便排完时间以及奶量喂养时间，值得临床推广。 　　[关键词]早产儿;喂养不耐受;双歧杆菌三联活菌;温盐水灌肠;效果研究 　　[中图分类号]r179[文献标识码]a[文章编号]1674-4721（2020）4（a）-0142-03 　　[abstract]objectivetoinvestigatetheeffectofbifidobacteriatripleviablebacteriacombinedwithwarmsalineenemainthetreatmentoffeedingintoleranceofprematureinfants.methodsatotalof84casesofprematureinfantswithfeedingintoleranceadmittedtoourhospitalfromaugust2018toaugust2019wereselectedasstudysubjects，andweredividedintoobservationgroup（42cases）andcontrolgroup（42cases）accordingtotherandomnumbertable.thecontrolgroupwastreatedwithbifidobacteriatripleviablebacteriamethod，whiletheobservationgroupwastreatedwithbifidobacteriatripleviablebacteriacombinedwithwarmsalineenemamethod.aftertreatment，feedingintolerance，gestationaldefecationage，weightgain，full-milkfeedingageandadversereactionswerecomparedbetweenthetwogroups.resultsthetotalincidenceoffeedingintoleranceintheobservationgroupat72hoursand15daysafterbirthwerelowerthanthoseinthecontrolgroup;theageattheendofdefecationandthedayoffullmilkfeedingintheobservationgroupwereshorterthanthoseinthecontrolgroup;thegrowthofbodyweightintheobservationgroupafterbirthwasgreaterthanthatinthecontrolgroup（p0.05）.therewasnosignificantdifferenceinthetotalincidenceofadversereactionsbetweenthetwogroups（p0.05）.conclusiontheapplicationofbifidobacteriatripleviablebacteriacombinedwithwarmsalineenemainpreterminfantswithfeedingintoleranceisconducivetoimprovingthesituationoffeedingintolerance，shorteningthetimeofdefecationandfeedingtimeofmilkvolume，whichisworthyofclinicalpromotion. 　　[keywords]prematureinfants;feedingintolerance;bifidobacteriumtripleviable