综合舒适护理预防早产儿喂养不耐受的临床观察

目的探讨综合舒适护理对早产儿喂养情况和体重增长的影响及预防喂养不耐受的效果。方法选择早产儿89例，随机分为干预组和对照组。干预组在对照组常规护理基础上实施综合舒适护理，对比两组每日摄入奶量、达全肠道营养时间、每日体重增长量、恢复出生体重时间、喂养不耐受发生率及表现。结果干预组每日摄入奶量、达全肠道营养时间与对照组比较差异有统计学意义（P〈0．05）。干预组每日体重增长量、恢复出生体重时间与对照组比较差异有统计学意义（P〈0．05）。干预组喂养不耐受发生率及腹胀、呕吐、胃残留、排便不畅等表现与对照组比较差异有统计学意义（P〈0．05）。结论综合体位护理、胃肠道护理、抚触等护理措施可提高早产儿舒适度和促进胃肠道功能成熟，减少喂养不耐受，有利于早产儿生长发育。

Clinical observation of comprehensive comfort care preventing feeding intolerance in preterm children

Objective To investigate the comprehensive eomiort care ot premature cnuuL~ ,~ pact of weight gain and prevention of the effects of feeding intolerance. Methods Eighty-nine cases of premature children were randomly assigned to the intervention group and the control group, the intervention group received rou- tine care based on the implementation of integrated comfort care, compared two groups of daily intake of milk, up to full enteral nutrition times, daily body weight gain, time to regain birth weight, incidence of feeding intolerance and performance. Results The intervention group daily intake of milk, up to full enteral nutrition time difference compared with the control group were statistically significant （P 〈 0.05）. Intervention group daily body weight gain, time to re- gain birth weight compared with the control group, the difference were statistically significant （P 〈 0.05）. Intervention group the incidence of feeding intolerance and abdominal distension, vomiting, gastric residual, such as performance difference compared with the control group were statistically significant （P 〈 0.05）. Conclusion Postural care, gastrointestinal care, massage and other measures to improve the premature child care comfort and promote functional maturation of the gastrointestinal tract, reduce feeding intolerance, is conducive to growth and development in preterm children.