早产儿喂养不耐受56例临床分析

Clinical Analysis for the Feeding Intolerance in 56 cases of Preterm Neonates

目的 :探讨早产儿喂养不耐受的原因 ,解决早产儿喂养不耐受问题 ,提高早产儿的生存质量。方法 :对我院1998年 6月～ 2 0 0 3年 6月住院的早产儿进行回顾性分析 ,2 16名早产儿中共出现喂养不耐受 5 6例 ,占 2 5 .9% ,主要表现为呕吐、腹胀、胃潴留、胎粪排出延迟等。结果 :体重越低、胎龄越小及有窒息史的患儿易发生喂养不耐受 ,给予部分静脉营养 ,结合肠道喂养 ,辅助胃肠动力药等 ,可解决早产儿喂养问题。结论 :早产儿易发生喂养耐受 ,体重越轻 ,胎龄越小 ,越易喂养不耐受 ,有窒息史的早产儿也易发生喂养不耐受。

Objective: To analyse the reason and solve the problem of feeding intolerance in preterm neonates ,improve the living quality of preterm neonates. Methods: The preterm neonates hospitalized during June,1998 to June,2003 in my hospital were retrospectively reviewed. 56 cases of 216 preterm neonates(25.92%) had feeding intolerance as evidenced by vomiting,abdominal distension ,gastic residuals and fetal stool delaying . Results: Mainly occurring in those with lower birth weight ,shorter gestation and low Apgar score .Partly veinous nutrition ,intragastric feeding and drugs facilitating gastrointestinal motility could solve the problem of feeding intolerance. Conclusion: Feeding intolerance mainly occurs in those preterm neonates with lower birth weight ,shorter gestation and low Apgar score.