摘要
【目的】探讨极低及超低出生体重早产儿早期微量低磅奶（早产儿配方奶）喂养的可行性和疗效。【方法】将95例极低及超低出生体重早产儿随机分为早期微量低磅奶喂养（治疗组）52例和早期全静脉营养（TPN对照组）43例两组。观察两组各项指标变化。【结果】两组胃肠道功能紊乱、坏死性小肠结肠炎（NEC）、吸入性肺炎发生率及继发感染发生率比较差异无显著性（P〉0．05），但治疗组达全量胃肠道营养时间、胆红素水平、继发感染率、体重恢复时间，住院时间等均明显低于对照组（P〈0．05）。【结论】早期微量低磅奶喂养可促进胃肠道发育成熟，不增加胃肠功能紊乱的发生率，并可缩短达足量喂养的时间及住院天数，减轻胆红素水平、减少继发感染的发生率。
[Objective] To investigate the feasibility and efficacy of early minimal low-pound milk feeding of very-low-birth-weight premature infants（VLBWI） and extremely low-birth-weight premature infants（ELB- WI）. [Methods] Totally 95 cases of VI.BWI and EI.BWI were randomly divided into two groups. The experiment group（ n =52） received early minimal low-pound milk feeding, and the control group（ n =43） received only total parenteral nutrition （TPN）. The changes of indicators in two groups were observed. [Results] There was no significant difference in gastrointestinal neuroses, necrotizing enterocolitis （NEC）, the incidence of aspiration pneumonia and the incidence of secondary infection between two groups（ P 〉0.05）. However, the time to reach full-volume enteral nutrition, bilirubin levels, the incidence of secondary infection, the time of weight recovery and the hospital days in the experiment group were significantly lower than those in the control group（ P 〈0.05）. [Conclusion]The early minimal low pound milk feeding can promote the development and mature of gastrointestinal tract, and does not increase the incidence of gastrointestinal neuroses,. It also can shorten the time to reach full volume enteral nutrition and hospital days, and reduce bilirubin levels, and decrease the incidence of secondary infection. Therefore, early minimal low-pound milk feeding for VLBWI and ELBWI is feasible and effective.
出处
《医学临床研究》
CAS
2011年第1期71-73,共3页
Journal of Clinical Research
关键词
婴儿
早产
infant,premature
