早产儿早期母乳和配方奶微量喂养的对比研究

Comparative study of early breast milk and formula minimal feedings in premature infants

目的探讨早期母乳微量喂养和配方奶微量喂养对早产儿胃肠功能、NEC的影响。方法将本科2011年6～12月收治的96例早产儿随机分为治疗组和对照组。治疗组为母乳微量喂养,对照组为配方奶微量喂养,观察并比较两组患儿喂养并发症的发生情况及1周后的生长发育情况。结果治疗组在喂养不耐受及NEC的发生率均低于对照组,且体重增长速度也较对照组有明显提高(P<0.05)。呕吐、腹胀等喂养不耐受情况较对照组明显减少(P<0.05)。结论早期给予母乳微量喂养可减少喂养并发症的发生,并能促进患儿生长发育。

Objective To probe into the influences of gastrointestinal functions and necrotizing enterocolitis （NEC） of premature infants fed by early breast milk and formula in minimum respectively. Methods Ninety-six premature infants admitted into our department from June to December 2011 were randomly divided into treatment group and control group. In the treatment group, infants were fed with breast milk in minimum, while in the control group, the affected babies were provided with minimal formula feeding. The feeding complications and growth and development after one week in both groups were observed and Compared. Results The incidences of feeding intolerance and NEC in the treatment group were both lower than those in the control group. In addition, the weight growth rate was remarkably higher than that of the control group （P 〈 0.05）. The complications of feeding intolerance like vomiting and abdominal distension occurred less than the control group （P 〈 0.05）. Conclusion The early breast milk feeding in minimum for premature not only decreases the occurrence of feeding complications, also promote the growth and development of infants.