胃肠道舒适护理对早产低体质量婴幼儿喂养的影响-《西部中医药》

文章信息/Info

Title:: Effects of Gastrointestinal Comfort Care on the Feeding of Low Baby Weight Premature Infant

Keywords:: low body weight premature infant; gastrointestinal tract; comfort care; caress; feeding by mouth

摘要:: 目的：探讨对早产低体质量婴幼儿进行胃肠道喂养的适宜方法，以降低其喂养不耐受率。方法：将60例早产低体质量婴幼儿随机分为治疗组和对照组各30例，对照组采用常规喂养，即普通胃管间歇喂养法，由护士用注射器间歇注入配方奶。治疗组进行胃肠道舒适护理，即给予微量泵间断胃管喂养、非营养性吸吮、腹部抚触、喂养不耐受处理。结果：治疗组患儿达到全肠道营养时间、恢复出生体质量时间、鼻胃管留置时间均比对照组短，差异有统计学意义(P＜0.01)。治疗组喂养出现呕吐、腹胀、胃残留、呼吸暂停例数均较对照组少，差异有统计学意义(P＜0.01)。结论：胃肠道舒适护理可以有效降低早产低体质量婴幼儿吐奶次数、促进其吸吮功能、胃肠功能的发育，增加对营养物质的吸收，加快由胃管向经口喂养的转变，缩短住院时间。

Abstract:: Objective: To reduce feeding intolerance rate of low body weight premature infant by surveying the appropriate method of feeding low body weight premature infant by mouth. Method: All 60 low body weightpremature infants were randomized into the treatment group and the control group. The control group accepted conventional feeding, that is, intermittent feeding method by gastrointestinal tract, feeding the baby formula milk with syringe by the nurse. The treatment group received gastrointestinal comfort care, feeding the baby with micro pump intermittently, sucking, abdominal caress, feeding intoralence management. Result: The treatment group was shorter than the control group in intestinal nutrition time, time of recovering to birth weight, indwelling time of nasal and stomach tube, the difference had statistical meaning(P＜0.01). The treatment group was less than the control group in vomiting, abdominal distention, gastric residue, apena during the course of feeding, the difference had statistical meaning (P＜0.01). Conclusion: Gastrointestinal comfort care could effectively reduce the times of low body weight premature infant vomiting milk, promote sucking and the development of gastrointestinal function, increase the absorption of nutrition, speed up the transformation of feeding by stomach tube to mouth and shorten hospitalization time.