集束化管理在极低、超低出生体质量儿肠内营养中的应用

Application of Cluster Management in Enteral Nutrition among VLBWI and ELBWI

目的探讨集束化管理用于极低、超低出生体质量儿肠内营养的效果,以期减少喂养不耐受等情况的发生。方法便利抽样法选择2010年1月至12月在温州医科大学附属第一医院新生儿科住院的极低、超低出生体质量儿37例为对照组,同法选择2011年6月至2012年5月住院的47例极低、超低出生体质量儿作为观察组。对照组按早产儿肠内营养护理常规施护;观察组在此基础上进行集束化护理。结果观察组患儿胃潴留、呕吐发生率较低,患儿过渡到全胃肠营养的天数<25d者占82.97%,且患儿恢复出生体质量和体质量达2000g日龄较早,平均体质量增长较快,患儿住院天数较短,与对照组比较,差异均有统计学意义(均P<0.01)。结论集束化管理在极低、超低出生体质量儿肠内营养中具有优势,可减少喂养不耐受发生率,对患儿预后有积极作用。

Objective To explore the application effect of cluster management in enteral nutrition among very low birth weight infant （VLBWI） and extremely low birth weight infant （ELBWI）,so as to reduce the incidence of feeding intolerance. Methods Totally 37 VLBWI and ELBWI were recruited as the control group from January 2010 to December 2010 and 47 VLBWI and ELBWI were recruited as the observational group from June 2011 to May 2012. The premature infants in both groups were given conventional nursing, while infants in the observational group were given additional cluster management. Results Incidence of gastric retention and vomiting were significantly lower than those in the control group,and about 82.97 % premature infants in the observational group transited into total enteral nutrition less than 25 days. With faster increasing of body weight and shorter hospital stay, infants in the observational group restored birth weight and gained 2000g earlier than those in the control group（P〈0.01）. Conclusion Cluster management used in VLBWI and ELBWI may contribute to reducing the incidence of feeding intolerance and improving the prognosis.