低出生体重儿胃肠内喂养合理方式的临床研究

Clinical Study of Rational Enteral Feeding for Low Birth Weight Infants

目的探讨低出生体重儿胃肠内喂养的合理方式。方法将106例低出生体重儿随机分成2组。A组:温开水、5%葡萄糖水和1:1稀释早产奶各喂养3次,每次间隔3小时;B组:温开水、5%葡萄糖水和1:1稀释早产奶各喂养6次,每次间隔3小时。所有病例如无不耐受予喂养普通配方奶。观察每组患儿发生腹胀、呕吐、胃出血、平均住院时间以及体重增长情况。结果与B组相比,A组患儿腹胀、呕吐、胃出血发生率低(P<0.05),平均住院时间较短(P<0.05),体重增长较快(P<0.05),其差异均有显著统计学意义。结论采用温开水、糖水和稀释奶各喂养3次的方式喂养有利于促进喂养耐受性,是低出生体重儿喂养不耐受较合理的喂养方式。

Objective To investigate rational methods on enteral feeding for low birth weight infants.Methods 106 low birth weight infants were divided into two groups randomly：Group A were fed by warm water,5% glucose and 1：1 dilution of milk three times in every 3 hours;Group B were fed by warm water,5% glucose and 1：1 dilution of milk six times in every 3 hours.We observed the symptoms of enlarged abdomen,vomiting,bleeding,and the weight growth and counted out the mean stay in hospital.Results Compared with Group B,Group A experienced a less occurrence of enlarged abdomen,vomiting and bleeding;had a faster body growth and shorter mean stay in hospital with significant difference（P 0.05）.Conclusion Feeding with warm water,5% glucose and 1：1 dilution of milk three times in every three hours is beneficial to the promotion of feeding tolerance,which is a reasonable method on enteral feeding for low birth weight infants.