摘要
目的研究早产儿胃肠喂养的临床特点,分析喂养不耐受的相关因素,探讨有利于早产儿喂养成熟的策略。方法选择东莞市横沥医院2007年1月-2008年12月住院的喂养不耐受早产儿26例作为研究组,随机选择同期非喂养不耐受早产儿28例作为对照组,比较喂养不耐受的相关因素。再按早开始(<3 d)和晚开始(≥3 d)胃肠喂养分成2组,比较有关临床因素。结果喂养耐受和不耐受2组的胎龄、出生体质量、开奶日龄、达80 kcal/(kg.d)日龄、体质量开始增长日龄、恢复出生体质量日龄及住院天数差异有显著性(P<0.05)。早喂养组和晚喂养组两组患儿黄疸持续时间、达80 kcal/(kg.d)日龄、经胃肠达80 kcal/(kg.d)日龄、达足量喂养日龄、体重开始增长日龄、恢复出生体重日龄和住院天数差异均有显著性意义(P<0.05)。结论如果早产儿生命体征平稳,在出生3d内应尽可能早地开始胃肠道喂养,早期微量喂养、缓慢加奶、谨慎禁食、有利于促进喂养耐受性。
Objective The study aimed to investigate the clinical characteristics and the relative factors of feeding intolerance in premature infant,to analysis the beneficial factors in order to improve gut motility and maturation.Methods The study was carried out in 54 premature infant in our hospital from January 2007 to December 2008.They were devided into feeding tolerance and intolerance groups,and earlier enteral feeding and later groups.Comparison was made between the two groups about the associate factors.Res...
出处
《江西医学院学报》
2009年第5期77-79,82,共4页
Acta Academiae Medicinae Jiangxi
基金
东莞市科技基金资助项目(2008105150137)
关键词
婴儿
早产
喂养不耐受
肠道营养
infant
premature birth
feeding intolerance
enteral nutrition
