喂养不耐受早产儿中实施综合护理干预的临床价值

Clinical value of comprehensive nursing intervention in preterm infants with feeding intolerance

目的:分析综合护理干预在喂养不耐受早产儿护理中的应用价值。方法:2019年3月-2020年9月收治喂养不耐受早产儿78例,随机分为两组,各39例。对照组给予常规护理;观察组给予综合护理。比较两组干预效果。结果:观察组喂养不耐受率低于对照组,差异有统计学意义(P<0.05);观察组腹胀消失时间、胃潴留消失时间、呕吐改善时间、胃管留置时间和住院时间均短于对照组,差异有统计学意义(P<0.05);观察组恢复出生体质量时间、喂养不耐受时间、达全肠道营养时间均短于对照组,摄奶量及日增加体质量均高于对照组,差异有统计学意义(P<0.05)。结论:在喂养不耐受早产儿中实施综合护理干预,能够显著改善早产儿的喂养不耐受情况,缩短喂养不耐受症状转归时间和住院时间,促进早产儿的生长发育。

Objective:To explore the clinical value of comprehensive nursing intervention in preterm infants with feeding intolerance.Methods:From March 2019 to September 2020,78 preterm infants with feeding intolerance were selected.They were divided into two groups with 39 cases.The control group was given routine nursing.The observation group was given comprehensive nursing.We compared intervention effects of two groups.Results:In observation group,the feeding intolerance rate was lower than control group,the difference was statistically significant(P<0.05).The time of abdominal distention disappearance,the time of gastric retention disappearance,the time of vomiting improvement,the indwelling time of gastric tube and length of stay in hospital were shorter than control group,the difference was statistically significant(P<0.05).The recovery time of birth weight,feeding intolerance time and total intestinal nutrition time were shorter than control group,and milk intake and daily weight gain were higher than control group,the difference was statistically significant(P<0.05).Conclusion:In preterm infants with feeding intolerance,the implementation of comprehensive nursing intervention can improve the feeding intolerance of preterm infants,shorten recovery time of feeding intolerance symptoms and hospital stay,and promote the growth and development of preterm infants.