袋鼠式护理防治早产儿喂养不耐受的临床观察

The effect of kangaroo mother care on feeding intolerance in premature infants

目的探讨袋鼠式护理对早产儿喂养不耐受的影响.方法将102例早产儿分组,48例于常规NICU治疗护理基础上予袋鼠式护理作为观察组,另54例根据常规NICU治疗护理作对照组,观察两组早产儿发生频繁呕吐、胃潴留、腹胀等喂养不耐受症状及坏死性小肠结肠炎（necrotizing enterocolitis,NEC）发生情况,记录体质量增长速度、恢复至出生体质量时间、达全胃肠喂养时间及平均住院时间等.结果观察组早产儿发生频繁呕吐、胃潴留、腹胀及NEC分别有4、3、6、2例,发生率明显低于对照组（P〈0.05）;观察组恢复至出生体质量时间、达全胃肠喂养时间、平均住院时间为（10.5±1.3）d、（18.4±2.3）d、（30.2±1.6）d,均短于对照组,日体质量增长速度为（19.3±1.4）g/d,高于对照组,差异均有统计学意义（均P〈0.05）.结论袋鼠式护理可减少早产儿的喂养不耐受的发生,有助早产儿的康复.

Objective To investigate the effect of kangaroo mother care on feeding intolerance in premature infants. Methods 102 premature infants were divided into 2 groups, 48 cases were treated with kangaroo mother care based on conventional NICU care as observation group, and 54 cases were treated with conventional NICU care as control group. The signs of frequent vomitting, gastric residuals, abdominal distension, and the incidence of necrotizing enterocolitis （NEC） were recorded. And the rate of weight gain, time of birth weight recovery, feeding time, and average length of hospital stay were recorded too. Results The number of the cases of frequent vomitting, gastric residuals, abdominal distension, and NEC in the observation group were 4, 3, 6, 2, whose incidences were signifcantly lower than those in the control group （P〈0.05）. The time of birth weight recovery, total gastrointestinal feeding, and average length of hospital stay in the observation group were （10.5±1.3）d, （18.4±2.3）d, （30.2±1.6）d, which were all shorter than those in the control group （P〈0.05）, the rate of daily weight gain in the observation group was （19.3±1.4） g/d, which was higher than that in the control group （P〈0.05）. Conclusion Kangaroo mother care is of beneft in feeding intolerance of premature infants.