窒息新生儿早期喂养与胃肠功能紊乱临床分析

Analysis of early feeding and gastrointestinal dysfunction in neonates with asphyxia

目的 :探讨新生儿窒息早期喂养对胃肠功能的影响。方法 :对 84例窒息新生儿临床喂养资料进行分析。结果 :呕吐、腹胀、胃出血为窒息新生儿常见胃肠紊乱 ;出生后前 3d喂养的胃肠紊乱率较高 (分别为 6 5 .2 % ,2 4.1% ,8.9% ) ,4d后明显减少率 (1.12 % ) ,前 3d喂养中第 1d紊乱率最高 (P <0 .0 5 ) ,不论糖水、稀奶均可出现紊乱 ;前 3d禁食者的胃肠紊乱率 (2 .15 % )明显小于喂养者 (P <0 .0 5 ) ,而糖水和稀奶喂养紊乱率 (分别为 2 0 .6 5 % ,2 5 .39% )两者无明显差异。结论 :窒息新生儿出生后不宜过早开奶 ,前 3d尤应慎重 ;第

Objective This article was to investigate the effect of early initiation of enteral feeding in neonates with perinatal asphyxia on gastrointestinal funtion. Methods Eighty-four cases of enteral feeding of neonates with asphyxia were analysed. Results The common dysfunctions were vomiting and abdominal distension, gastric bleeding as well; the percentages of gastrointestinal dysfunction in the early four days were 65.2%, 24.1%, 8.9%, 1.12% respectively and presented a decreasing tendency following the increasing days after birth; The percentage of gastrointestinal dysfunction on the first day was the highest in the early three days (P<0.05)and not only dextrose but also dilute milk resulted in the dysfunctions. Fasting caused the lower percentage of the dysfunction(2.15%, P<0.05), but dextrose and dilute milk had no significant difference(P>0.05). Conclusion It's not optimal for neonates with asphyxia to initial early enteral feeding, especially in the early three days ;it's optimal for the neonates with asphyxia not to be fed on the first day.