早期护理干预对早产儿胃肠道功能的影响

Effect of Early Nursing Intervention on Gastrointestinal Function of Premature Infants

目的探究早期护理干预对早产儿胃肠道功能的影响。方法选取我院2014年3月至2015年3月收治的100例早产儿,随机将其分为观察组和对照组,每组50例。对照组给予常规治疗、静脉营养和对症处理,观察组给予常规治疗、静脉营养以及早期护理。观察比较两组早产儿喂养不耐受情况、喂养相关情况、血清胆红素水平和光疗时间。结果观察组患儿呕吐、腹胀、胃残留、胃残余物被胆汁污染等喂养不耐受发生率均明显低于对照组,胎粪排尽时间、恢复至出生体重时间、达到全量肠内营养时间以及胃管留置时间、光疗时间均明显短于对照组,血清胆红素水平显著低于对照组,差异均具有统计学意义(P<0.05)。结论对早产儿进行早期护理干预,可促进患儿肠胃功能的恢复,减少并发症的出现,且安全有效,无副作用。

Objective To investigate the effect of early nursing intervention on the gastrointestinal function of premature infants. Methods From March 2014 to March 2015, 100 cases of premature infants in our hospital were selected and randomly divided into observation group and control group, with 50 cases in each group. The control group was given conventional therapy, intravenous nutrition and symptomatic nursing, the observation group was given conventional therapy, intravenous nutrition and early nursing. The feeding intolerance, feeding related situations, serum bilirubin level and phototherapy time in two groups were observed and compared. Results The incidence of feeding intolerance （including vomit, abdominal distension, gastric residuals and bile-stained gastric residues） in observation group was significantly lower than that in control group, the meconium exhausting time, time of reaching full enteral nutrition and returning to birth weight, gastric tube indwelling time, phototherapy time were significantly shorter than those in control group, the level of serum bilirubin was significantly lower than that in control group, with statistically significant difference （P 〈0.05）. Conclusions Early nursing intervention for premature infants can promote the recovery of children＇s gastrointestinal function, reduce the complications, with no side effects, which is safe and effective.