发展性照顾对早产儿生长发育影响的研究

RESEARCH ON DEVELOPMENTAL CARE FOR GROWTH AND DEVELOPMENT OF PREMATURE INFANTS

目的探索发展性照顾对早产儿生长发育的影响。方法将100例早产儿按编号分为常规组和观察组各50例,二组早产儿均采用常规护理措施,治疗措施相同。常规组在不能经口喂养期间给予非营养性吸吮,观察组给予发展性照顾,用化学发光法测定早产儿血液中胃泌素(GAS)的水平,记录二组早产儿体重增长速度,日龄1,3个月头围、体重、身高。结果开奶前(入院时)、5,10d早产儿常规组GAS分别57.20±14.03、115.59±25.87、174.09±26.48,观察组早产儿GAS分别为58.01±15.19、138.52±26.62、195.20±24.24,二者除入院时外,5,10d观察组GAS水平均明显高于常规组(P<0.05);恢复出生体重所需时间,观察组(9.12±2.19)d,常规组(12.00±2.12)d(P<0.05);1个月时头围、体重、身高常规组(34.40±0.74)cm、(2.80±0.24)kg、(45.07±0.86)cm,观察组分别为(34.86±0.82)cm、(2.98±0.25)kg、(46.05±1.34)cm;3个月时头围、体重、身高常规组(35.77±1.95)cm、(5.02±0.24)kg、(51.16±0.91)cm,观察组分别为(36.64±1.02)cm、(5.26±0.31)kg、(52.15±1.77)cm,观察组生长发育速度明显高于常规组(P<0.05)。结论发展性照顾可促进早产儿胃泌素的释放,促进胃肠功能成熟及体重增长,有利于早产儿体格的发育。

Objective To explore the effect of developmental care for growth and development of premature infants. Methods Totally 100 eases of premature infants were divided into conventional group and experimental group according to the number, 50 cases in each group. All premature infants were received conventional care measures, and the same treatment. Conventional group feeded non-nutritive sucking when can ＇t be given by mouth, experimental group received developmental care. GSA level in the blood was determined by using chemiluminescence, some data of premature infants were recorded included weight growth rate, head circumference, weight, height growth rate in a month, three month. Results GSA of conventional group were 57. 20± 14.03, 115.59 ± 25.87, 174.09 ± 26.48 before open milk （at admission）, five days and ten days respectively, and they were 58. 01 ± 15.19, 138.52 ± 26. 62, 195.20 ± 24.24 in experi- mental group, GAS were significantly higher in 1.he experimental group than in the conventional group in five days and ten days in addition to the admission（P〈0.05）. The time regained birth weight was 9.12 ± 2.19 days in experimental group, 12.00 ± 2.12 days in conventional group, the difference was statistical significant（P〈0.05）. Head circumference, weight, height in one month were 34. 40 ± 0.74cm, 2.80 ± 0. 24kg, 45. 07 ± 0. 86cm in conventional group, 34. 86 ± 0. 82cm, 2. 98 ± 0. 25kg, 46. 05 ± 1.34cm in experimental group. They were 35.77 ± 1.95cm, 5.02 ± 0. 24kg, 51.16 ± 0.91cm in three month in conventional group, 36.64 ± 1.02cm, 5.26 ± 0.31kg, 52.15 ± 1.77cm in experimental group. The growth rate of the experimental group was significantly higher than the conventional group（P〈0.05）. Conclusions De- velopmental care for premature infants can promote the release of gastrin, promote maturation of gastrointestinal function and weight increase, be conducive to the development of premature infants physical.