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早期肠内外营养对早产儿生长发育的影响与应用价值分析(1)
http://www.100md.com 2018年1月5日 中国实用医药 2018年第1期
     【摘要】 目的 研究早期肠内外营养的应用对于早产儿生长发育的积极意义。方法 80例早产儿, 根据营养干预时间不同分为对照组和观察组, 各40例。对照组早产儿给予常规营养干预, 观察组早产儿给予早期(出生24 h内)肠内外营养干预, 对比两组早产儿的生长发育指标及住院时间、生理体质下降时间、恢复体制时间、达足量喂养时间。结果 观察组早产儿生理体质下降持续时间为(6.10±1.44)d,恢复体质时间为(6.93±1.62)d, 达足量喂养时间为(19.43±3.23)d, 住院时间为(37.42±4.45)d, 均短于对照组的(8.46±1.83)、(10.37±2.10)、(26.75±4.37)、(41.27±4.85)d, 差异有统计学意义(P<0.01)。出生10 d, 两组早产儿的体重、身长、头围比较差异无统计学意义(P>0.05);出生1个月, 两组早产儿的体重、身长、头围均优于出生10 d时, 且观察组早产儿的体重优于对照组, 差异有统计学意义(P<0.01), 而两组身长、头围比较差异无统计学意义(P>0.05)。结论 早期肠内外营养有助于促进早产儿的生理体质恢复, 促进早产儿的生长发育, 值得推广。

    【关键词】 早期肠内外营养;早产儿;生长发育

    DOI:10.14163/j.cnki.11-5547/r.2018.01.011

    【Abstract】 Objective To study the active significance of early enteral nutrition on the growth and development of preterm infants. Methods A total of 80 preterm infants were divided by different time of nutrition intervention into control group and observation group, with 40 cases in each group. The control group received conventional nutrition intervention, and the observation group received early enteral nutrition (within 24h of birth). Comparison were made on growth and development index, hospitalization time, duration of physique decline, physical recovery time, and adequate feeding time between two groups. Results The observation group had duration of physique decline as (6.10±1.44) d, physical recovery time as (6.93±1.62) d, adequate feeding time as (19.43±3.23) d and hospitalization time as (37.42±4.45) d, which were all shorter than (8.46±1.83), (10.37±2.10), (26.75±4.37) and (41.27±4.85) d in the control group, and their difference was statistically significant (P<0.01). 10 d after birth, both groups had no statistically significant difference in body weight, body length and head circumference (P>0.05). 1 month after birth, both groups had better body weight, body length and head circumference than those of 10 d after birth, and the observation group had better body weight than the control group. Their difference was statistically significant (P<0.01). Both groups had no statistically significant difference in body length and head circumference (P>0.05). Conclusion Early enteral nutrition helps promote recovery of the physical constitution of preterm infants and promote their growth and development, and it is worth promoting.

    【Key words】 Early enteral nutrition; Preterm infants; Growth and development

    早產儿指的是胎龄≤37周的活产新生儿, 体重一般<2500 g[1]。随着新生儿医学的快速发展以及急救技术的进

    步, 早产儿的存活率有明显的提高[2]。早产儿对于营养的需求较高, 营养干预会直接影响早产儿的生长发育[3]。为促进早产儿的生长发育, 深圳市宝安区妇幼保健院对其应用早期肠内外应用干预, 报告如下。, 百拇医药(黄艳)
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