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目的探讨极低出生体重儿开始胃肠道喂养的时间。方法将86例极低出生体重儿随机分成两组,一组生后24h内开奶,另一组生后96h后开奶;观察两组在喂养不耐受、低血糖、胎便排出延迟、乳糖不耐受、新生儿败血症发生率方面的区别。结果两组在胎便排出延迟、乳糖不耐受、新生儿败血症发生率方面差异有统计学意义(P<0.05);在喂养不耐受、低血糖发生率方面差异无统计学意义(P>0.05)。结论极低出生体重儿生后应尽早开奶,对促进胎便排出、降低新生儿败血症及乳糖不耐受的发生有积极作用。
Objective To investigate the time when very low birth weight infants started to enter the gastrointestinal tract. Methods A total of 86 children with very low birth weight were randomly divided into two groups. One group was given lactation within 24 hours after birth and the other group was started 96 hours after birth. The rats in the two groups were fed intolerance, hypoglycemia, Intolerance, differences in the incidence of neonatal sepsis. Results There was significant difference between the two groups in the delay of discharge of meconium, lactose intolerance and the incidence of neonatal sepsis (P <0.05), but there was no significant difference in incidence of feeding intolerance and hypoglycemia (P> 0.05 ). Conclusion Very low birth weight children should be as soon as possible after opening milk, to promote the discharge of meconium, reduce neonatal sepsis and lactose intolerance have a positive effect.