微量喂养联合抚触疗法改善早产儿喂养不耐受疗效观察

目的:观察微量喂养联合抚触疗法改善早产儿喂养不耐受的临床效果。方法:将66例早产儿随机分为对照组和观察组,各33例。2组患儿入院后常规置于暖箱保暖、心电监护、防治感染、维持内环境稳定、静脉营养支持及对症治疗。对照组将早产儿配方奶置于奶瓶中经其吸吮橡胶奶头喂养;观察组在常规治疗的基础上给予微量喂养:生后24 h内视患儿病情酌情给予非营养性吸吮或滴管喂养、留置胃管饲早产儿配方奶等办法,同时坚持给患儿进行抚触疗法。比较2组患儿腹胀和胃潴留消失时间、恢复到出生体质量的时间以及喂养不耐受发生率。结果:观察组患儿较对照组腹胀和胃潴留消失时间缩短、恢复到出生体质量的时间明显缩短、喂养不耐受发生率降低(P<0.01)。结论:微量喂养联合抚触疗法可明显降低早产儿喂养不耐受发生率,有利于早产儿尽早达到全肠道内营养及生长发育需求。适宜的喂养方法对提高基层医院早产儿救治水平具有重要意义。

The effect of micro-feeding combined with massage therapy in improving the feeding intolerance in preterm infant

Objective:To observe the clinical effects of micro-feeding combined with massage therapy in improving the feeding intolerance in preterm infants. Methods:Sixty-six preterm infants were randomly divided into the observation group and control group (33 cases each group). Two groups were treated with keeping warm,monitoring electrocardiogram,preventing infection,maintaining homoiostasis,supporting parenteral nutrition and dealing with symptoms. The control group were fed using milk bottle, and the observation group were additionally fed with micro-feeding. The preterm infants were treated with non-nutritive sucking or eyedropper feeding,indwelling gastric tube feeding and massage therapy within 24 hours after birth. The time of the bloating, gastric retention disappear and recovering birth weight,and incidence of feeding intolerance between two groups were compared. Results:Compared with the control group,the time of the bloating,gastric retention disappear and recovering birth weight,and incidence of feeding intolerance in the observation group were significantly short and low,respectively(P <0. 01). Conclusions:Micro-feeding combined with massage therapy can significantly reduce the incidence of feeding intolerance in premature infants, and be benefit to meet the total enteral nutrition and growth demand in preterm infants as soon as possible. Appropriate feeding method has great significance in improving the clinical treatment level of preterm infants in primary hospitals.