早产极低体重儿出院后体重不增影响因素探讨

Influence factors of very low birth weight premature infants weight does not increase after discharged

目的:分析探讨影响极低体重儿出院后体重不增的因素,并找出相应的预防措施。方法:收治极低体重新生儿45例,体重增加后顺利出院。出院前,由医护人员对其父母进行了专门的人工哺养培训,并告知其1周随访1次,总共5次,根据不同的情况制定不同的增重方案。结果:1周定期随访15例病例,共随访5次(A组);2周随访12例病例,共随访3次(B组);3周随访10例病例,共2次。A组体重平均增加(950±120)g,B组体重平均增加(560±130)g,而3周总共随访2次的C组体重平均仅仅增加了(360±120)g。和B、C两组相比,A组体重增加比较明显(P<0.05),而B组与C组之间差异没有统计学意义(P>0.05)。在影响增重的各个因素中,家庭背景是最为重要的因素。结论:在影响极低体重儿出院后增重的各种因素中,家庭背景和定期随访是两个最为重要的因素。

Objective:To analysis the influence factors of weight does not increase effects of very low birth weight infants after discharge from the hospital,and find out the corresponding preventive measures.Methods:45 cases of very low birth weight infants from 2011 June to 2013 June in our hospital,weight gain after discharged. Before discharge,their parents were give by the medical staff specifically artificial feeding training,and informed the 1 week follow-up 1 times,a total of 5 times,making different weighting schemes according to different conditions.Results:1 week follow-up of 15 cases,there were 5(group A);2 week follow-up of 12 cases,there were 3(group B);3 week follow-up of 10 cases,a total of 2 times.A group gained an average of(950±120)g,B group gained an average of(560±130)g,and 3 weeks for a total of 2 follow-up of C group,the average weight increased just(360±120)g. Compared with B,C two groups,body weight of A group increased obviously(P<0.05),but no significant difference between B group and C group(P>0.05).The influence factors of effect weighting,family background is the most important factor.Conclusion: The influence factors of effect weighting,family background and regular follow up are the two most important factors.