精细化护理对早产儿母乳喂养质量、生长发育的临床价值分析

Clinical Value of Fine Nursing on Breast-feeding Quality and Growth of Premature Infants

目的:探讨精细化护理管理对早产儿母乳喂养、生长发育的临床价值。方法:选取2017年1月-2018年12月在笔者所在医院出生的早产儿80例,随机数字法分为对照组(常规护理,40例)与观察组(精细化护理,40例)。比较两组母乳喂养情况、足跟采血疼痛评分(NIPS评分)、出生1周后神经行为评分(NBNA评分)、生长发育情况及并发症发生情况。结果:观察组首次母乳喂养时间早于对照组,首次母乳喂养成功率、出院前纯母乳喂养率、住院期间母乳总喂养量均高于对照组,差异均有统计学意义(P<0.05);观察组护理后NIPS评分低于对照组,NBNA评分高于对照组,差异均有统计学意义(P<0.05);观察组出院时身长、体重、头围均优于对照组,差异均有统计学意义(P<0.05);观察组坏死性小肠结肠炎(NEC)、宫外发育迟缓(EUGR)、感染、营养不良等并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论:精细化护理有助于提高早产儿母乳喂养质量,促进生长发育,降低出生后并发症的发生。

Objective:To explore the clinical value of fine nursing management on the growth and development of premature infants.Method:A total of 80 premature infants born in the author’s hospital from January 2017 to December 2018 were selected,and were randomly divided into the control group(routine nursing,n=40)and the observation group(fine nursing,n=40).The breast-feeding,heel blood-collecting pain score(NIPS score),neurobehavioral score(NBNA score)1 week after birth,growth and development,and complications were compared between the two groups.Result:The first breast-feeding time in the observation group was earlier than that in the control group,the success rate of first breast-feeding,the rate of exclusive breast-feeding before discharge,and the total amount of breast-feeding during hospitalization were all higher than those in the control group,the differences were statistically significant(P<0.05).The NIPS score after nursing in the observation group was lower than that in the control group,while NBNA score was higher than that in the control group,the differences were statistically significant(P<0.05).When discharged,the body length,body weight and head circumference in the observation group were all better than those in the control group,the differences were statistically significant(P<0.05).The total incidence of necrotizing enterocolitis(NEC),extrauterine growth retardation(EUGR),infection and malnutrition in the observation group was lower than that in the control group(P<0.05).Conclusion:Fine nursing is helpful to improve the quality of breast-feeding for premature infants,promote growth and development,and reduce the incidence of postnatal complications.