低出生体质量儿肠内营养集束化护理效果

目的研究集束化护理用于极低、超低出生体质量儿肠内营养的效果。 方法选取济南军区总医院2016年6月至2017年11月收治的极低、超低出生体质量儿68例，随机分成研究组和对照组，对照组给予常规肠内营养护理，研究组在常规护理的基础上给予非营养性吸吮、口腔按摩、口腔支持、口腔喂养能力评估、腹部按摩及帮助排便等集束化护理措施。比较2组患儿平均体质量增长、恢复出生体质量日龄、体质量达2 000 g日龄及住院天数。 结果研究组患儿平均体质量增长(18.7±2.7)g/d，高于对照组(14.2±1.3)g/d；恢复出生体质量日龄(13.6±4.4)d，短于对照组(22.2±3.1)d；体质量达2 000 g日龄(31.5±3.5)d，短于对照组(43.5±2.5)d；住院天数(40.1±6.2)d，短于对照组(53.1±5.2)d，差异均有统计学意义(P均<0.05)。 结论集束化护理可以加快极低、超低出生体质量儿平均体质量增长，缩短恢复出生体质量及体质量达2 000 g日龄时间，减少住院天数，值得临床推广。

Effect of cluster based care on the enteral nutrition for low birth weight infants

ObjectiveTo study the effect of cluster based care on the enteral nutrition for very low birth weight(VLBW)infants and extremely low birth weight(ELBW)infants. MethodsA total of 68 VLBW or ELBW infants from June 2016 to November 2017 at General Hospital of Jinan Military Command were randomly divided into an observation group and control group.The infants in control group was given routine enteral nutrition nursing, and the infants in observation group were received non-nutritive sucking, oral massage, oral support, assessment of oral feeding ability, abdominal massage, helping defecation and other cluster based care on the basis of routine nursing.The differences of the average weight gain, the time regain to birth weight, the age of weight up to 2 000 g and hospitalization days between the two groups were compared. ResultsThe average weight gain of observation group was(18.7±2.7)g/d, higher than that of control group(14.2±1.3)g/d.The time regain to birth weight of observation group was(13.6±4.4)d, shorter than that of control group(22.2±3.1)d.The age of weight up to 2 000 g of observation group was(31.5±3.5)d, shorter than that of control group(43.5±2.5)d.The hospitalization days of observation group was(40.1±6.2)d, shorter than that of control group(53.1±5.2)d.The differences were statistically significant(all P<0.05). ConclusionCluster based care can speed up the average weight gain of VLBW and ELBW infants, shorten the time regain to birth weight and the age weight up to 2 000 g, reduce the hospitalization days, and is worthy of clinical promotion.