晚期早产儿喂养不耐受症的早期综合干预措施研究

目的分析早期综合干预措施在晚期早产儿喂养不耐受症中的应用效果。方法选择2014年2月~2016年2月期间诊治的162例喂养不耐受晚期早产儿为研究对象，采用随机数字表法分为观察组和对照组各81例。对照组采取暂停喂养、静脉补充营养等常规处理，观察组在对照组的基础上采用早期综合干预措施，比较2组临床症状改善情况、继续生长情况、不良反应等指标。结果观察组患儿腹胀消失时间、恢复至出生体重时间、喂养耐受时间均明显短于对照组(t=9.846，9.760，8.875，P<0.05)；达到自行吮吸时间、全胃肠喂养时间均明显短于对照组，体质量增长速度明显快于对照组(t=6.253，5.382，6.564，P<0.05)；呕吐、腹胀、胃潴留等不良反应25.93%明显低于对照组54.32%(x2=13.592，P<0.01)。结论早期综合干预措施有助于改善不耐受症的晚期早产儿临床症状，促进患儿生长发育，减少喂养不良反应发生率。

objective:to analysis the early comprehensive intervention measures in the application of the late preterm infant feeding intolerance syndrome effect.Methods:in February2014-February2016during the diagnosis and treatment of162cases of feeding intolerance late preterm infants as the research object,using the random number table method divided into observation group and control group81cases each.Control group take pause,intravenous feeding supplements such as conventional treatment,observation group in the control group using early comprehensive intervention measures,on the basis of comparing their clinical symptoms improvement,continue to grow,adverse reactions,such as index.Results:observation group with abdominal distension disappear time,return to birth weight,feeding tolerance time were significantly shorter than the control group(t=9.846,9.846,9.760,P<0.05);To suck on his own time,the whole gastrointestinal feeding time were significantly shorter than the control group,the growth rate of body quality significantly faster than the control group(t=6.253,5.382,6.253,P<0.05);Adverse reactions such as vomiting,abdominal distension and gastric retention25.93%significantly lower than the control group54.32%(x2=13.592,P<0.01).Conclusion:early comprehensive intervention measures to help improve the intolerance of late preterm clinical symptoms,promote the growth of children,reduce the incidence of adverse reactions.