早期护理干预对早产儿胃肠道功能的影响

[目的]探讨早期护理干预对早产儿胃肠道功能的影响。[方法]将60例早产儿随机分为两组。对照组30例，给予常规治疗、对症处理和静脉营养；实验组30例，常规治疗和静脉营养同对照组，同时施加早期微量喂养、非营养性吸吮、温生理盐水灌肠及腹部按摩等护理干预。观察两组喂养不耐受情况、胎粪排尽时间、达到全量肠内营养时间、胃管留置时间、体重增长情况、血清胆红素值和光疗时间。[结果]实验组早产儿喂养不耐受发生减少，在胎粪排尽时间、恢复至出生体重时间、达到全量肠内营养时间、胃管留置时间等方面较对照组明显缩短，出生14d体重增长明显，生后第3天、第7天、第14天血清胆红素值明显降低，光疗时间显著缩短。[结论]早期护理干预是早产儿胃肠道功能护理管理中行之有效的综合措施。

Influence of early nursing intervention on gastrointestinal tract function of preterm infants

Objective： To probe into the influence of early nursing intervention on gastrointestinal tract function of preterm infants. Methods： A total of 60 preterm infants were randomly divided into two groups 30 cases each. Newborns of control group were given conventional treatment,symptomatic handling and parenteral nutrition. Newborns of test group given conventional treatment and parenteral nutrition the same as control group. Meantime, nursing interventions including early micro - feeding, non - nutritive suckling,warm normal saline cololysis and abdominal massage were given for them. Then, feeding intolerance,meconium excretion time, the achievement time of total enteral nutrition, gastric - tube retention time, the growth of body weight, serum bilirubin level and phototherapy time of two groups were observed. Results The occurrence of feeding intolerance in preterm infants of test group of decreased. In terms of meconium excretion time, the time of body weight back to birth weight, the achievement time of total enteral nutrition,and gastrictube retention time in test group new- borns were significantly shorter than that of control group newborns. Body weight on the fourteenth day after birth of test group newborns was signif- icantly higher than that of control group. Serum bilirubin level on the third,the seventh,and the fourteenth day was significantly lower than that of control group newborns respectively. Phototherapy time of test group infants was also significantly shorter than that of control group. Conclusion Early nursing intervention was an effective comprehensive measure for nursing management of gastrointestinal tract function of preterm infants.