早产儿早期微量胃肠喂养的临床应用

Clinical application of early minimal enteral feeding in premature infants

目的探讨早期微量胃肠喂养在早产儿喂养中的临床效果。方法48例早产低出生体质量儿,随机分为试验组25例给予早期微量胃肠喂养,对照组23例给予非早期非微量胃肠喂养,比较恢复出生体质量时间、达到足量胃肠喂养时间、住院时间、喂养不耐受的发生率、静脉营养时间等指标。结果2组患儿恢复出生体质量时间无显著性差异(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,有显著性差异(P<0.05)。试验组喂养不耐受发生率低于对照组,有显著性差异(P<0.05)。结论早期微量胃肠喂养可缩短到达足量胃肠喂养时间、静脉营养时间及住院时间,同时可减少喂养不耐受的发生。而恢复出生体质量时间对评价早期微量胃肠喂养的效果并无肯定意义。

Objective It is to discuss the clinical effects of early minimal enteral feeding in premature infants. Methods 48 cases of low birth body mass premature infants were randomly divided into two groups, 25 cases were in test group and given early minimal enteral feeding, and 23 cases were in control group and given non-early minimal enteral feeding. The indexes of recovering birth body mass time, reaching full enteral feeding time, hospital staying time, feeding intolerance incidence rate and intravenous feeding time in the two groups were compared, Results There was no significant difference on recovering birth body mass time in the two groups （P 〉0.05）, Reaching full enteral feeding time, intravenous feeding time and hospital staying time in test group were all shorter than that in control group and there was significant difference （ P 〈 0, 05 ）. Feeding intolerance incidence rate in test group was lower than that in control group and there was significant difference （P 〈 0.05）, Conclusion Early minimal enteral feeding can shorten reaching full enteral feeding time, intravenous feeding time and hospital staying time, and it can decrease the occurrence of feeding intolerance. But recovering birth body mass time has no affirmative meaning on evaluating the effects of early minimal enteral feeding.