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早期肠内微量母乳与配方奶喂养对早产儿喂养不耐受的影响

Effects of early intestinal infinitesimal breast feeding and formula on feeding intolerance in premature infants

  • 摘要: 目的 探究早期肠内微量母乳与配方奶喂养对早产儿喂养不耐受的影响。方法 选取佛山市三水区妇幼保健院2016年1-12月新生儿科收治的喂养不耐受早产儿76例,随机分为研究组及对照组,每组各38例。对照组患儿给予单纯早期肠内微量配方奶喂养,研究组患儿给予早期肠内微量母乳喂养。比较两组患儿生长发育情况、肠胃喂养耐受性及并发症发生率。结果 经喂养后,研究组患儿体重、头围及身长均明显优于对照组(P<0.05),研究组患儿呕吐、腹胀及奶汁潴留喂养耐受率明显高于对照组(P<0.05),研究组患儿院内感染、坏死性小肠结肠炎(NEC)及早产儿视网膜病(ROP)并发症发生率明显低于对照组(P<0.05)。结论 对早产儿喂养不耐受患儿给予早期肠内微量母乳喂养可明显促进患儿生长发育,提高喂养耐受性,减少并发症发生率,值得临床推广。

     

    Abstract: Objective To explore the effect of early intestinal infinitesimal breast milk and formula feeding on feeding intolerance in premature infants.Methods 76 cases of preterm infants with feeding intolerance were recruited in our hospital from January 2016 to December 2016. They were randomly divided into study group and control group (n=38). Children in the control group were given early intestinal infinitesimal formula, and the children in the study group were given early intestinal infinitesimal breast feeding. The growth and development, the gastrointestinal feeding tolerance and the incidence of complications of the two groups were compared.Results After feeding, the body weight, head circumference and body length of the study group were significantly better than those of the control group (P<0.05). The tolerance rates of vomiting, bloating and dairy retention in the study group were significantly higher than that in the control group (P<0.05). The incidences of neonatal enteritis, necrotizing enterocolitis (NEC) and retinopathy of prematurity (ROP) in the study group were significantly lower than that in the control group (P<0.05).Conclusion Early intestinal infinitesimal breast feeding can significantly promote the growth and development of children, improve thefeeding tolerance and reduce the incidence of complications. It is worth to be widely applied in the clinic.

     

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