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目的探讨喂养方式对极低出生体重(VLBW)婴儿生长发育及疾病康复的影响。方法将48例VLBW婴儿随机分成观察组和对照组。观察组23例,滴服喂养;对照组25例,胃管喂养。观察开始经奶头喂养时间、达全口喂养时间、胎粪排出时间、不良反应、并发症、光疗情况、奶量增加、体重增长和住院天数。结果与对照组比较,观察组开始经奶头喂养时间、达全口喂养时间、胎粪排出时间、累计光疗时间和住院日短,并发症发生率低,不良反应没有增加,奶量增加和体重增长快。结论滴管喂养适用于有吞咽功能的VLBW婴儿,能够充分满足生长发育所需能量,增强机体抗病力,缩短平均住院日,减少住院并发症,从而减轻患儿家属经济负担。
Objective To investigate the effects of feeding methods on the growth and recovery of infants with very low birth weight (VLBW). Methods 48 cases of VLBW infants were randomly divided into observation group and control group. The observation group of 23 cases, drip feeding; control group of 25 cases, stomach tube feeding. Observed by the nipple feeding time, up to full feeding time, meconium discharge time, adverse reactions, complications, phototherapy, increased milk, weight gain and length of stay. Results Compared with the control group, the observation group started feeding by teat, full feeding, meconium discharge time, cumulative phototherapy time and hospitalization days, the incidence of complications was low, no adverse reactions, increased milk production and weight gain fast. Conclusion Eyedropper is suitable for swallowing VLBW infants, which can fully meet the growth and development of the required energy, enhance the body resistance, shorten the average length of stay, reduce hospital complications, thereby reducing the financial burden on families of children.