新生儿抚触治疗早产儿喂养困难45例分析

Analysis of 45 cases of neonatal touch intervention on premature infants with feeding difficulties

【目的】观察新生儿抚触、小剂量红霉素治疗早产儿喂养困难的疗效比较。【方法】将2006年10月-2011年10月郑州市第三人民医院儿科收治的90例喂养困难的早产儿随机分为实验组和控制组,两组均给予保暖、体位疗法、部分静脉营养等常规治疗。治疗组在常规治疗的基础上,给予新生儿抚触,疗程3～5d。对照组在常规治疗基础上,给予小剂量红霉素3～5mg/kg日静脉泵入,疗程3～5d。【结果】两组患儿在疗程、呕吐情况、胃残余量、日增加奶量比较差异无统计学意义(P>0.05)。【结论】新生儿抚触治疗与小剂量红霉素治疗早产儿喂养困难疗效相当,临床可提倡新生儿抚触治疗早产儿喂养困难,减少药物对早产儿产生不必要的伤害。

【Objective】 To observe and compare the curative effect between neonatal touch intervention and low-dose erythromycin treatment on premature infants with feeding difficulties.【Methods】 90 cases of premature infants with feeding difficulties,which were admitted by the third People＇s Hospital of Zhengzhou from October 2006 to October 2011,were divided into the experiment group and the control group randomly.Both groups were given with conventional treatments,like warm keeping,postures therapy,partial parenteral nutrition,etc.On the basis of conventional therapy,the experiment group was given extra neonatal touch intervention for 3-5 days,and the control group was given extra low-dose of erythromycin 3-5 mg/kg intravenous infusion for 3-5 days.【Result】 There was no significant statistically difference（P〉0.05） between the experiment group and the control group in course of treatment,vomiting,gastric residual volume,and daily increased milk sucking.【Conclusions】 Neonatal touch intervention has equivalent curative effect as low-dose erythromycin treatment for premature infants with feeding difficulties.The neonatal touch intervention can be promoted in clinical care to premature infants with feeding difficulties,which can reduce the unnecessary harm to premature infants from drug usage.