2小时喂养极低出生早产儿的临床疗效

目的 探讨2 h喂养极低出生早产儿的应用效果.方法 将云南省第三人民医院儿科新生儿室2016年9月至2017年9月出生的极低出生早产儿162例, 随机将81例作为实验组, 采用每2 h喂奶1次, 将81例作为对照组, 采用每3小时喂奶1次.比较2组的应用效果.结果 实验组与对照组在喂养耐受性、生长速率、恢复全胃肠道内喂养时间、静脉高营养液输注天数、肝内胆汁淤积症 (intrahepatic cholestasis disease, ICD) 发生风险、住院天数等方面进行对比, 差异有统计学意义 (P<0.05) .结论 极低出生早产儿采用每2 h喂奶1次, 可有效刺激肠道蠕动, 提高患儿喂养耐受性、加快生长速率、尽快恢复全胃肠道内喂养、降低胆汁淤积发生风险、减少住院天数.

The Clinic Effect of 2-Hour Feeding in Premature Infants with Very Low Birth Weight

Objective To study the effect and application of 2-hour feeding in premature infants with very low birth weight.Methods 162 newborn cases with very low birth weight in the pediatrics department, The Third People's Hospital of Yunnan Province in September 2016-September 2017, were randomly divided into two groups:the experimental group with 81 cases (feeding every 2 hours) , and the control group with 81 cases (feeding every three hours) . The application effect was compared in the two groups.Results Comparing the gastrointestinal tract feeding tolerance, growth rate, feeding time, days of intravenous infusion of high nutrient solution, risk of intrahepatic cholestasis disease, and days of hospitalization between the experimental group and the control group, the data had significant differences (P < 0.05) . Conclusion 2-hour feeding in low birth premature infants can effectively stimulate the intestinal peristalsis, improve children's tolerance, speed up the growth rate, resume the gastrointestinal tract feeding as soon as possible, reduce the risk of cholestasis occurs and reduce the number of days in hospital. In clinical work, children's feeding tolerance, gastric retention, and bloating situation should be under strict observation and be delt with in time. These methods are worth promoting in the neonatal wards.