母乳喂养与配方乳喂养对极低出生体重儿的影响探讨

Exploration on effects of breastfeeding and formulated milk feeding on very low birth weight infants

目的观察和比较母乳喂养与配方乳喂养对极低出生体重儿(VLBWI)的影响。方法选取2015年7月~2018年7月于我院新生儿重症监护病房住院的506例VLBWI为研究对象,根据随机数字表法将其分为母乳组(n=133,予以母乳喂养)和配方乳组(n=373,予以配方乳喂养),比较其胃肠动力、体重增长情况及并发症发生情况。结果母乳组婴儿体重开始增长时间显著早于配方乳组(P<0.05),母乳组婴儿干预10d后的体重及净增长体重均显著高于配方乳组(P<0.05);喂养干预10d期间,母乳组发生喂养不耐受28例(11.28%),并发症总发生例数为24例(18.05%),与配方乳组的71例(19.03%)和101例(27.08%)相较显著更低(P<0.05)。结论母乳喂养VLBWI有利于其胃肠改善,降低喂养不耐受及并发症发生,更有利于婴儿生长发育。

Objective To observe and compare the effects of breastfeeding and formulated milk feeding on very low birth weight infants(VLBWI). Methods 506 VLBWI who were hospitalized in the neonatal intensive care unit of our hospital from July 2015 to July 2018 were selected as research objects.According to the random number table method,they were divided into the breast milk group(n=133,breastfeeding)and formulated milk group(n=373,formulated milk feeding).The gastrointestinal motility,weight gain and occurrence of complications were compared. Results The weight of infants in the breast milk group began to grow significantly earlier than the formulated milk group (P< 0.05). The weight and net weight gain of infants in the breast milk group after 10 days of intervention were significantly higher than those in the formulated milk group(P < 0.05).During the 10d feeding intervention,there were 28 cases(11.28%) of feeding intolerance and 24 cases(18.05%)of complications in the breastfeeding group,significantly lower than 71 cases(19.03%)and 101 cases(27.08%)in the formulated milk group(P < 0.05). Conclusion Breastfeeding for VLBMI is beneficial to the improvement of gastrointestinal motility and reduction of feeding intolerance and complications,and it is more conducive to growth and development of infants.