综合喂养干预对早产儿喂养不耐受的影响

Q4 Nursing

中华临床营养杂志 Pub Date : 2019-10-30 DOI:10.3760/CMA.J.ISSN.1674-635X.2019.05.008

Du Qinxia, Lihua Luo, Dong-Dong Liu, Qian-qian Wu, Xinya Zhu

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引用次数: 0

摘要

目的探讨综合喂养干预对早产儿喂养质量和体重增加的影响。方法选择2016年9月至2018年12月在我院新生儿重症监护病房(NICU)住院的早产儿81例，随机分为干预组(n=41)和对照组(n=40)。对照组患儿给予常规护理，干预组患儿在常规护理的基础上给予改良Y型胃管、俯卧位重力管喂养、口腔运动干预、初乳口服免疫治疗及袋鼠式护理等综合喂养干预。比较两组小鼠摄食过程的变化，观察两组小鼠摄食不耐受的发生情况。结果干预组的管饲时间和住院时间均低于对照组(P<0.05)，但干预组1周后平均日增重速率[g/(kg·d)]和1周泌乳量[ml/(kg·d)]均高于对照组(P<0.05)。干预组胃潴留、腹胀、呕吐发生率均低于对照组，仅胃潴留发生率(24.4% vs 47.5%)差异有统计学意义(P<0.05)。干预组喂养不耐受发生率明显低于对照组(24.39% vs 47.50%， P<0.05)。结论综合护理干预可缩短早产儿管饲时间，促进早产儿体重增长，提高喂养质量，减少喂养不耐受发生率，减少早产儿住院时间，从而降低住院费用，提高早产儿的生活质量，提高家长满意度。关键词:综合护理干预;早产儿;喂养不耐受

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Effect of comprehensive feeding intervention on feeding intolerance of premature infants

Objective To investigate the effect of comprehensive feeding intervention on feeding quality and weight gain of premature infants. Methods Eighty-one premature infants admitted to the neonatal intensive care unit (NICU) of our hospital from September 2016 to December 2018 were selected and randomly divided into the intervention group (n=41) and the control group (n=40). Infants in the control group received routine nursing and infants in the intervention group were given comprehensive feeding intervention on the basis of routine nursing includingimproved Y type gastric tube, gravity tube feeding in prone position, oral movement intervention, colostrum oral immunotherapy and kangaroo nursing. The changes of feeding process were compared between the two groups and the occurrence of feeding intolerance in the two groups was observed. Results The duration of tube feeding and hospital stay were lower in the intervention group than in the control group (P 0.05), but the average daily weight growth rate [g/(kg·d) ] after 1 week and the milk volume [ml/(kg·d)] at 1 week were higher in the intervention group than in the control group(P<0.05). The incidence of gastric retention, abdominal distension and vomiting in the intervention group was lower than that in the control group, but only the difference in the incidence of gastric retention (24.4% vs 47.5%) was statistically significant (P<0.05). The incidence of feeding intolerance was significantly lower in the intervention group than in the control group (24.39% vs 47.50%, P<0.05). Conclusion Comprehensive nursing intervention can shorten the tube feeding time of premature infants, promote the weight growth of premature infants, improve the feeding quality, reduce the incidence of feeding intolerance, and reduce the hospital stay of premature infants, so as to reduce the hospitalization cost, improve the quality of life of premature infants, and increase the satisfaction of parents. Key words: Comprehensive nursing intervention; Premature infant; Feeding intolerance

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来源期刊

中华临床营养杂志 Nursing-Nutrition and Dietetics

CiteScore

0.20

自引率

0.00%

发文量

2282

期刊介绍： The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch. The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.