个体发育支持护理对早产儿生长发育的影响

Influence of individual development supportive care on growth and development of premature infants

目的探讨个体发育支持护理对早产儿生长发育的影响。方法选择2015年1月~2016年1月在我院收治的早产儿80例,观察组采用标准化肠内联合肠外营养支持,对照组采用传统方法开展营养支持护理,比较干预后两组IgM、IgG及IgA水平与干预后CD4^+、CD8^+、CD4^+/CD8^+水平变化,干预后身长增长速度、体重增长速度及骨矿物含量变化情况。结果干预后观察组IgM、IgG及IgA水平均显著高于对照组(P<0.05),干预后观察组CD4^+、CD8^+水平均高于对照组(P<0.05),CD4^+/CD8^+比值大于对照组(P<0.05),干预后观察组身长增长速度快于对照组(P<0.05),体重增长速度快于对照组(P<0.05),骨矿物含量高于对照组(P<0.05)。结论对早产儿开展早期的营养与支持护理,能有效提高患儿免疫能力,促进其生长发育。

Objective To discuss the influence of individual development supportive care on growth and development of premature infants. Methods 80 premature infants treated in our hospital from January 2015 to January 2016 were selected. Patients in the observation group were given standardized enteral and parenteral nutrition, and those in the control group were given traditional nutrition supportive care. The IgM, IgG, and IgA levels, changes of CD4^＋, CD8^＋, and CD4^＋/CD8^＋levels, growth rate of height, growth rate of weight, and changes of bone mineral content after treatment were compared between two groups. Results The IgM, IgG, and IgA levels after treatment were significantly higher in the observation group than in the control group（P〈0.05）. The CD4^＋and CD8^＋levels after treatment were significantly higher in the observation group than in the control group（P〈0.05）, the CD4^＋/CD8^＋value after treatment was significantly higher in the observation group than in the control group（P〈0.05）. The growth rate of height and growth rate of weight after treatment were significantly higher in the observation group than in the control group（P〈0.05）. The bone mineral content after treatment was significantly higher in the observation group than in the control group（P〈0.05）. Conclusion Early nutrition and supportive care can effectively improve the immunocompetence of premature infants and promote their growth and development.