极低出生体重儿取消常规胃残余量监测的影响

Effect of Abolishing Routine Gastric Residual Volume Monitoring in Very Low Birth Weight Infants

目的:探讨取消常规胃残余量监测对极低出生体重儿的影响。方法:选取2021年1月—2022年1月深圳市坪山区人民医院出生的极低出生体重儿136例作为研究对象,按随机数字表法分为常规组和试验组,各68例。常规组规范进行胃残余量监测,试验组取消常规胃残余量监测。比较两组生长发育指标、临床相关指标及住院相关指标。结果:试验组建立全胃肠内营养时间、恢复出生体质量时间短于常规组,喂养中断次数、每日喂奶次数少于常规组,每日喂奶量多于常规组,体质量大于常规组,差异有统计学意义(P<0.001);试验组入院后第15天大便潜血阳性率低于常规组,中心静脉置管时间短于常规组,差异有统计学意义(P<0.05);试验组住院时间短于常规组,住院费用低于常规组,差异有统计学意义(P<0.001)。结论:取消常规胃残余量监测可促进极低出生体重儿生长发育,改善临床相关指标,缩短中心静脉置管时间与住院时间,减少住院费用。

Objective:To investigate the effect of abolishing routine gastric residual volume monitoring on very low birth weight infants.Methods:A total of one hundred and thirty-six very low birth weight infants born in Shenzhen Pingshan District People's Hospital from January 2021 to January 2022 were selected as the study objects,and were divided into conventional group and experimental group according to random number table method,with sixty-eight cases in each group.Gastric residual volume monitoring was performed in the conventional group,and the gastric residual volume monitoring was canceled in the experimental group.Growth and development indicators,clinical related indicators and hospitalization related indicators were compared between the two groups.Results:The time to establish total gastrointestinal nutrition and recovery of birth weight in experimental group was shorter than that in conventional group,the number of feeding interruption and daily feeding times was less than that of the conventional group,the daily feeding amount was more than that of the conventional group,and the body weight was greater than that of the conventional group,the difference was statistically significant(P<0.001);the positive rate of fecal occult blood on the 15th day after admission in experimental group was lower than that in conventional group,and the time of central venous catheter placement was shorter than that in conventional group,the difference was statistically significant(P<0.05);the hospitalization time of experimental group was shorter than that of conventional group,and the hospitalization cost was lower,the difference was statistically significant(P<0.001).Conclusion:Cancellation of routine gastric residual volume monitoring can promote the growth and development of very low birth weight infants,improve clinical indicators,shorten the time of central venous catheterization and hospitalization,and reduce hospitalization costs.