极低出生体重儿给予重力喂养及非营养性吸吮并结合新生儿抚触护理干预方法的临床效果观察(1)
【摘要】 目的：探讨极低出生体重儿给予重力喂养及非营养性吸吮并结合新生儿抚触护理干预方法的临床效果。方法：选取2013年1月-2014年1月本院新生儿科收治的极低出生体重儿62例，随机均分为两组，其中31例给予常规间断鼻饲喂养治疗(常规组)，另外31例给予重力喂养、非营养性吸吮、抚触护理干预治疗(观察组)，对比其临床效果。结果：观察组患儿的鼻胃管留置时间为(11.30±6.83)d，恢复出生体质量时间为(7.64±3.55)d，足量胃肠喂养时间为(11.62±6.45)d，住院时间为(24.42±11.05)d。常规组患儿的鼻胃管留置时间为(15.72±7.79)d，恢复出生体质量时间为(12.45±3.80)d，足量胃肠喂养时间为(15.41±6.52)d，住院时间为(35.68±17.82)d。观察组患儿的各项指标时间均明显短于常规组，差异均有统计学意义(P<0.05)。观察组患儿中有5例(16.13%)呕吐，6例(19.35%)腹胀，4例(12.90%)胃残留，2例(6.45%)呼吸暂停。常规组有16例(51.61%)呕吐，15例(48.39%)腹胀，14例(45.16%)胃残留，11例(35.48%)呼吸暂停。观察组患儿的喂养不耐受情况均明显轻于常规组患儿，差异均有统计学意义(P<0.05)。结论：给予极低出生体重儿重力喂养及非营养性吸吮并结合新生儿抚触护理干预，可有效缓解喂养不耐受的情况，从而改善患儿预后，保障患者健康成长。
, 百拇医药
【关键词】 极低出生体重儿； 重力喂养； 非营养性吸吮； 抚触
【Abstract】 Objective：To investigate the clinical effects of very low birth weight children given the gravity-fed and non-nutritive sucking and nursing interventions for newborn massage.Method：From January 2013 to January 2014 period，our hospital neonatal treated 62 cases of very low birth weight children were randomly divided into two groups，31 patients were given conventional treatment intermittent gastronomic feeding (conventional group)，The remaining 31 patients were given the gravity-fed，non-nutritive sucking，touching nursing intervention therapy (study group)，compared to its clinical effects.Result：The group of children with a gastronomic tube indwelling time was (11.30±6.83) d，recovery time of birth weight (7.64±3.55) d，a sufficient amount of entrant feeding time (11.62±6.45) d，length of hospital stay for (24.42±11.05) d.Gastronomic tube indwelling time children in the control group was (15.72±7.79) d，recovery time of birth weight (12.45±3.80) d，a sufficient amount of entrant feeding time (15.41±6.52) d，hospitalization time (35.68±17.82) d.Indicators of childminders time in the observation group were significantly shorter than children in the control group，the difference was statistically significant (P<0.05).There were 5 children in the observation group (16.13%) in children with vomiting cases，6 patients (19.35%) were abdominal distension，4 patients (12.90%) were gastric residual，2 children (6.45%) with respiratory cases suspended.There were 16 children (51.61%) in the control group and vomiting in children cases，15 patients (48.39%) were abdominal distension，14 infants (45.16%) gastric residual，11 cases (35.48%) of children with breathing pauses.Feeding children was not tolerated in the observation group was significantly lighter than the control group of patients，the difference was statistically significant (P<0.05).Conclusion：Very low birth weight children given the gravity-fed and non-nutritive sucking and massage combined with newborn care interventions can effectively alleviate the situation of feeding intolerance，thereby improving the prognosis，protect the healthy growth of the patient., 百拇医药(陈秀丽 钟奎英 魏贤娇)
, 百拇医药
【关键词】 极低出生体重儿； 重力喂养； 非营养性吸吮； 抚触
【Abstract】 Objective：To investigate the clinical effects of very low birth weight children given the gravity-fed and non-nutritive sucking and nursing interventions for newborn massage.Method：From January 2013 to January 2014 period，our hospital neonatal treated 62 cases of very low birth weight children were randomly divided into two groups，31 patients were given conventional treatment intermittent gastronomic feeding (conventional group)，The remaining 31 patients were given the gravity-fed，non-nutritive sucking，touching nursing intervention therapy (study group)，compared to its clinical effects.Result：The group of children with a gastronomic tube indwelling time was (11.30±6.83) d，recovery time of birth weight (7.64±3.55) d，a sufficient amount of entrant feeding time (11.62±6.45) d，length of hospital stay for (24.42±11.05) d.Gastronomic tube indwelling time children in the control group was (15.72±7.79) d，recovery time of birth weight (12.45±3.80) d，a sufficient amount of entrant feeding time (15.41±6.52) d，hospitalization time (35.68±17.82) d.Indicators of childminders time in the observation group were significantly shorter than children in the control group，the difference was statistically significant (P<0.05).There were 5 children in the observation group (16.13%) in children with vomiting cases，6 patients (19.35%) were abdominal distension，4 patients (12.90%) were gastric residual，2 children (6.45%) with respiratory cases suspended.There were 16 children (51.61%) in the control group and vomiting in children cases，15 patients (48.39%) were abdominal distension，14 infants (45.16%) gastric residual，11 cases (35.48%) of children with breathing pauses.Feeding children was not tolerated in the observation group was significantly lighter than the control group of patients，the difference was statistically significant (P<0.05).Conclusion：Very low birth weight children given the gravity-fed and non-nutritive sucking and massage combined with newborn care interventions can effectively alleviate the situation of feeding intolerance，thereby improving the prognosis，protect the healthy growth of the patient., 百拇医药(陈秀丽 钟奎英 魏贤娇)