早产极低体重儿出院后体重不增影响相关因素分析

No increasing of weight factors analysis of the VLBM post-discharge

目的探讨早产极低体重儿出院后体重不增因素,以求相应干预措施。方法 2010年我院新生儿ICU病房共收治42例早产极低体重儿(VLBM),剔除因败血症、肺透明膜病变、坏死性小肠结肠炎死亡及放弃治疗共5例外,余下37例在体重增加至1800～2000g后顺利出院。出院时由专职医护人员对哺养人进行了培训,告知1周定时随访1次,共4次。根据随访情况针对性制定了个体方案,同时了解家庭背景(父母文化、经济条件、母乳+早产儿配方乳喂养、接受培训次数、父母固定工作)。结果一周定时随访有15例,共随访4次(A组);两周随访12例,共随访2次(B组);四周随访10例,共1次(C组)。A组体重增加(950±150)g,两周随访2次B组体重增加(560±140)g,4周1次C组体重增加(360±140)g。A组与B组和C组比较体重增加(P<0.05)。B组与C组差异无统计学意义(P>0.05)。家庭背景好坏与体重增加成正比。结论定时随访和家庭背景是早产极低体重儿(VLBW)出院后体重增加重要影响因素。

Objective Discuss the factors of no increasing of weight of the VLBM post-discharge and to find correspond- ing measures. Methods 42 cases of VLBM were treated in the li2U in 2010, 37 of them left hospital successfully after their weight have increased to 1800 ～ 2000g except the 5 cases dead and gave up treatment. The supporters were trained by assist medi- cal professionals when post-discharge and were told That they will be followed up once a week, and individual plans will be worked out according to the follow-up conditions, simultaneously, get the family background（ culture of the parents,economic condition, breast milk ＋ laboratory milk feeding of VLBM, times of training,parents＇ steady job）. Results Four timesin a week, follow up 15cases（A group） ;twice in two weeks,12 cases（ B group） ;once in four weeks, 10 cases（ C group）. A group which in a fixed time of four gain weight of （950 ± 150）g, B group gain （560 ± 140）g weight and C group gain （360±140）g. Compare A with B and C, P 〈 0.05. B and C P 〉 0.05. Conclusion Following up at regular time and the family background are the important influ- encing factors of VLBW increasing of weight when post-discharge.