口服酪酸梭菌活菌散联合腹部按摩及温盐水清洁灌肠对早产儿喂养不耐受的影响

目的探讨酪酸梭菌活菌散联合腹部按摩及温盐水清洁灌肠对早产儿喂养不耐受的影响。方法将河北省唐山市玉田县医院收治的80例喂养不耐受的早产儿随机分成观察组和对照组(n=40)。2组患儿均给予口服或鼻饲早产儿配方奶及静脉营养等常规治疗。观察组在此基础上,给予酪酸梭菌活菌散联合腹部按摩及温盐水清洁灌肠综合治疗。观察2组患儿喂养不耐受的改善情况,即每天进乳量、残奶量、体质量增加量,腹胀、呕吐消失情况等。结果观察组上述症状改善情况明显优于对照组,差异有统计学意义(P<0.05)。结论口服酪酸梭菌活菌散联合腹部按摩及温盐水清洁灌肠可有效促进肠道成熟,明显改善早产儿胃肠道喂养不耐受的情况。

Objective To observe therapeutic effect of Clostridium butyricum powder combined with abdominal massage and salt water cleaning enema on feeding intolerance in premature infants. Methods 80 case of feeding intolerance of premature infants were randomly divided into observation group and control group（n=40）. Two groups of children were given conventional treatments such as Oral or nasal feeding preterm infant formula and parenteral nutrition. On the basis of conventional treatment, the observation group were given Clostridium butyricum powder combined with abdominal massage and salt water cleaning enema. To observe the improvement of feeding intolerance in the two groups, that is, daily into milk, residual amount of milk, amount of weight gain, abdominal distension and emesis. Results The symptoms in observation group was obviously better than control group, and the difference was signiifcantly（P〈0.05）. Conclusion Clostridium butyricum powder combined with abdominal massage and salt water cleaning enema can promote the intestinal mature effectively, and improve feeding intolerance in premature infants obviously.