天津护理

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早产极低出生体重儿不同喂养方式的临床效果观察

  

  1. 天津市中心妇产科医院,天津   300100
  • 收稿日期:2017-02-24 修回日期:2017-03-24 出版日期:2017-06-28 发布日期:2017-07-12
  • 基金资助:
     
    天津市卫生局科技基金资助项目(2015KZ076)

 
Effect observation of different feeding methods on premature very low birth weight infants

  1. Tianjin Central Hospital of Gynecology and Obstetrics, Tianjin 300100
  • Received:2017-02-24 Revised:2017-03-24 Online:2017-06-28 Published:2017-07-12

摘要:  

目的: 探讨早产极低出生体重儿不同喂养方式的临床效果。方法: 新生儿科所收治胎龄≤32周且体重<1 500 g的早产极低体重患儿323例,胎龄26~32周,出生体重(710~1 500) g。按喂养方式进行分组,分为母乳强化组、纯母乳喂养组及人工喂养组三组。对其的发生率及矫正胎龄达到40周时的身长、头围、体重增长速率进行统计分析。结果:纯母乳喂养组和母乳强化喂养组(NEC)发生率均低于人工喂养组,差异有统计学意义;母乳强化喂养组与纯母乳喂养组NEC发生率差异无统计学意义(P>0.05)。在矫正胎龄达到40周时的身长、头围、体重增长速率方面,母乳强化组与人工喂养组比较差异无统计学意义(P>0.05),均明显优于纯母乳喂养组。结论: 对于早产极低体重儿进行母乳强化喂养并不会增加其NEC的发生率,同时可以减少生后生长发育迟缓的发生。

关键词: 早产极低体重儿, 喂养方式, 母乳强化

Abstract:  

Objective: To discussion the clinical effect observation of different feeding methods on premature very low birth weight infants (VLBWI). Methods: We retrospectively analysed 323 VLBWI whose gestational age ranged from 26 to 32 weeks and birth weight ranged from 710g to 1500g. According to feeding way, they were divided into human milk fortification group, pure breastfeeding group and artificial feeding group. On the basis of these, we made a statistic analysis on the incidence of necrotizing enterocolitis(NEC) and body length, head circumference, body weight growth rate of infants when the corrected gestational age was 40 weeks. Results: The incidence rate of NEC in human milk fortification group and pure breastfeeding group was lower than that of artificial feeding group. On the incidence rate of NEC, there was no significant difference between human milk fortification group and pure breastfeeding group (P>0.05). The body length, head circumference, body weight growth rate of infants when the corrected gestational age was 40 weeks, there was no significant statistical differences between human milk fortification group and artificial feeding group (P>0.05) and they both do much better than pure breastfeeding group. Conclusion: It will not increase the incidence of NEC that taking human milk fortification on premature very low birth weight infants and besides it will reduce the occurrence of postnatal growth retardation.

Key words: Premature very low birth weight infants, Feeding way, Human milk fortification