早期微量喂养预防早产儿喂养不耐受的护理效果

目的:分析早期微量喂养预防早产儿喂养不耐受的护理效果及发育影响。方法:随机抽选本院分娩早产儿87例(分娩时间2019年1月~2021年2月),依据盲选抽签法分组,对照组44例、观察组43例。予以对照组规范化早产儿临床干预措施,观察组在对照组基础上联合早期微量喂养。统计两组临床干预指标、肠道益生菌群指标、生长发育指标及临床预后差异。结果:(1)临床干预指标:观察组足月体质量纠正时间、胃管留置时间、全肠内营养支持时间及住院时间较对照组均缩短,差异显著(P<0.05);(2)肠道益生菌群指标:两组干预3日时益生菌群指标组间对比无显著差异(P>0.05),观察组干预2周时肠道乳酸杆菌、双歧杆菌指标较对照组均上升,差异显著(P<0.05);(3)生长发育指标:观察组出院前测评所得体质量、身长及头围数据均高于对照组,差异显著(P<0.05);(4)临床预后:观察组胃肠不耐受反应发生率及坏死性小肠结肠炎发生率较对照组均降低,差异显著(P<0.05)。结论:早期微量喂养可在积极预防早产儿喂养不耐受发生情况同时,提升早产儿足月纠正治疗效果,提升肠道益生菌群水平,效果显著,临床推广价值显著。

Objective:To analyze the nursing effect and developmental effect of early micro-feeding on prevention of infant feeding intolerance.Methods:87 premature in-fants were randomly selected(January 2019~February 2021),According to the blind selection method,Control group 44 cases,observation group 43 cases.To standardize the clinical intervention of premature infants in the control group,The observation group combined with early microfeeding on the basis of the control group.The clinical intervention indexes,intestinal probiotics,growth and development indexes and clinical prognosis of the two groups were counted.Results:(1)Clinical intervention indexes:the time of correction of foot mass,gastric tube retention,total enteral nutrition support and hospital stay were shorter than those of control group,A significant difference(P<0.05);(2)Intestinal probiotic group index:there was no significant difference between the two groups(P>0.05),The indexes of Lactobacillus enterosus and Bfidobacteriumi were higher in the observation group than those in the control group at 2 weeks,A significant difference(P<0.05);(3)Growth and development indexes:the data of appropriate quality,body length and head circumference of the observation group before discharge were higher than those of the control group,A significant difference(P<0.05);(4)Clinical prognosis:the incidence of gastrointestinal intolerance and necrotizing enterocolitis in the observation group was lower than that in the control group,significant difference(P<0.05).Conclusion:Early micro-feeding can actively prevent premature infant feeding intolerance,To improve the therapeutic effect of term correction in premature infants.