早产低出生体重儿早期微量胃肠喂养的临床研究

目的 探讨早产低出生体重儿实施早期微量胃肠喂养成功的方法。方法 43例早产低出生体重儿中试验组23例给予早期微量胃肠喂养，对照组20例给予非早期、非微量胃肠喂养，比较恢复出生体重时间、达到足量胃肠喂养时间、住院时间、喂养不耐受发生率、恢复进食时间等指标。结果 两组患儿恢复出生体重时间差异无显著性（P〉0．05）。试验组达到足量胃肠喂养时间、静脉营养时间和住院时间均短于对照组，差异有显著性（P〈0．05，P〈0．01）。两组喂养不耐受发生率接近，但试验组临床表现轻，再恢复进食时间短于对照组，差异有显著性（P〈0．01）。结论 早期微量胃肠喂养可早期达到足量胃肠喂考，篓置静多营养时间及住院时间，即使出现喂养不耐受程度也较轻，可较快恢复进食。仅以是否恢复出生体重来评价胃肠喂养效果具有一定的局限性。

Clinical study of early minimal enteral feeding to promote successful gastrointestinal feeding in low birth weight premature infant

Objective To study the effects and the clinical characteristics of early minimal enteral feeding in premature infants.Methods 43 cases of low birth weight premature infants were randomly divided into two groups.Early minimal enteral feeding was given in one group,non-early minimal enteral feeding was given in another group.The times of gain in birth weight,full enteral feeding and hospital staying in the two groups were compared.The feeding intolerance in the two groups was observed.Results There was a significiant difference in the times of full enteral feeding and hospital staying between the two groups(P<0.05 and P<0.01).The time of gain in birth weight between the two group has no significiant difference(P>0.05).The incidence of feeding intolerance in the two groups were familiar.But the signs of feeding intolerance is more severe in non-early minimal enteral feeding group than that in early minimal enteral feeding group.The time of resumption to enteral feeding was significiantly shorter in early minimal enteral feeding group than that in nonearly minimal enteral feeding group(P<0.01).Conclusions Early minimal enteral feeding has benefit in promoting successful gastrointestinal feeding in low birth weight premature infant for shortening the times of reaching full enteral feeding and hospital staying,and decreasing the incidence of severe feeding intolerance.