早产儿喂养不耐受影响因素分析及对策

Analysis of influence factors and countermeasures for feeding intolerance in preterm infants

目的探讨早产儿喂养不耐受的影响因素及相关对策。方法将51例喂养不耐受早产儿设为观察组,随机选择同期非喂养不耐受早产儿52例作为对照组,对上述两组的临床资料进行回顾性分析。结果两组早产儿在出生体重、胎龄大小、开奶时间、宫内窘迫、是否使用氨茶碱及胃出血等方面有差异(P<0.05),表明喂养不耐受与上述因素相关。结论早产儿喂养不耐受与多种因素相关,及早开奶、早期微量喂养、缓慢增加喂奶量、注意喂奶方式和途径、刺激排便、及时处理腹胀、进行相应的药物干预以及应用微生态制剂,有利于改善早产儿胃肠道喂养的耐受性。

Objective To explore the influence factors and countermeasures for feeding intolerance in preterm Infants. Methods 51 premature infants with feeding intolerance for the observation group, randomly selected the same period non feeding intolerance in preterm infants as control group of 52 cases, the clinical data of these two groups were retrospectively analyzed. Results The two groups of preterm birth weight, gestational age size, open milk time, fetal distress, difference whether the use of aminophylline and gastric hemorrhage and so on were significant difference（P 〈 0.05）, and the factors associated with feeding intolerance. Conclusion The feeding intolerance in preterm infants with a variety of factors, early to open milk, early trace feeding, gradually increase the feeding amount, pay attention to feeding way, to stimulate defecation, early treatment of abdominal distension, drug intervention corresponding and the application of probiotics, to improve the tolerability of gastrointestinal feeding.