ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (6): 498-500.doi: 10.3969/j.issn.1674-3865.2017.06.012

• 临床研究 • 上一篇    下一篇

早期微量喂养联合非营养性吸吮降低早产儿喂养不耐受的可行性

钟江优#br#   

  1. 518000 广东 深圳,深圳市宝安区中心医院妇产科
  • 出版日期:2017-12-25 发布日期:2018-11-19
  • 作者简介:钟江优(1979-),女,主治医师。研究方向:临床妇产科疾病的诊治,E-mail:szzjy_120@sina.com

ZHONG Jiangyou. Department of Obstetrics and Gynecology,Central Hospital of Bao'an District of Shenzhen City,Shenzhen 518000,China

ZHONG Jiangyou   

  1. Department of Obstetrics and Gynecology,Central Hospital of Bao'an District of Shenzhen City,Shenzhen 518000,China
  • Online:2017-12-25 Published:2018-11-19

摘要:
目的
探讨早期微量喂养联合非营养性吸吮降低早产儿喂养不耐受的可行性。
方法
选取2014年3月至2015年8月深圳市宝安区中心医院出生的早产儿76例为研究对象,随机分为对照组和观察组各38例。对照组患儿给予保暖、早期微量喂养,观察组在对照组的基础上增加使用非营养性吸吮,在微量喂养过程的前、中、后期给予早产儿吸吮无孔橡皮奶头各5 min,每日8次。直至患儿产生吸吮反射、建立吞咽功能。观察两组患儿胃潴留消失时间、胃食管反流消失时间、腹胀消失时间、静脉营养时间及达到全胃肠营养时间、第2周末奶量及恢复出生体质量日龄。
结果
观察组胃潴留消失时间、胃食管反流消失时间、腹胀消失时间显著少于对照组,差异有统计学意义(P<0.05)。观察组静脉营养时间、达到全胃肠营养时间、恢复出生体质量日龄显著低于对照组,第2周末奶量显著高于对照组,差异均有统计学意义(P<0.05)。
结论
早期微量喂养联合非营养性吸吮对早产儿喂养不耐受治疗具有可行性,能快速缓解胃潴留、胃食管反流、腹胀等症状,也能促进早产儿体质量恢复正常,值得推广。

关键词: 坏死性小肠结肠炎, 早期微量喂养, 非营养性吸吮, 婴儿, 早产

Abstract:


Objective
To explore the feasibility of non-nutritive sucking combined with early micro-feeding to reduce feeding intolerance in preterm infants.
Methods
A total of 76 premature infants born in our hospital from March 2014 to August 2015 were divided into the control group and the observation group,each group consisting of 38 cases. Children in the both groups were given warm-keeping and early micro-feeding,and the observation group was added with non-nutritive sucking on the basis of the control group. During the micro-feeding,the premature infants were given no-hole rubble nipple to suck for 5 minutes respectively at the early,middle and late stage,8 times a day,until the sucking reflex and swallowing function were developed. The following indexes were observed:the disappearance time of gastric retention,of gastroesophageal reflux and of abdominal distension,the length of parenteral nutrition,the length of achieving total gastrointestinal nutrition,and the milk volume at the end of the second week as well as the days of recovering to birth body mass.
Results
The disappearance time of gastric retention,of gastroesophageal reflux and of abdominal distension were significantly less in observation group than that in control group,and the difference was statistical (P<0.05). The length of parenteral nutrition,the length of achieving total gastrointestinal nutrition and the days of recovering to birth body mass were significantly lower in observation group than in control group,while the milk volume at the end of the second week was significantly higher,the difference being statistical (P<0.05).
Conclusion
The therapy of early micro-feeding combined with non-nutritive sucking is feasible in the treatment of premature infants with feeding intolerance,which can rapidly relieve gastric retention,gastrointestinal reflux and abdominal distension,and can also help to recover the body mass to normal,so it is worth popularizing.

Key words: Necrotic enterocolitis, Early micro-feeding, Non-nutritive sucking, Infant,premature