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目的:观察腹部抚触联合枯草杆菌二联活菌治疗早产儿喂养不耐受的疗效,探讨早产儿喂养不耐受早期干预方法。方法:62例早产儿随机分为观察组(32例)和对照组(30例)。两组早产儿在常规治疗的同时均给予早期喂养,观察组于生后第2天开始进行腹部抚触,并联合应用枯草杆菌二联活菌颗粒,连续治疗7天。比较两组早产儿进奶量、残奶量、恢复至出生时体重所需日龄及腹胀、呕吐、胎粪情况。结果:两组早产儿在出生2周内每日进奶量、残奶量、恢复至出生时体重所需日龄、达到全胃肠营养所需时间比较差异均有统计学意义(P<0.05);观察组喂养不耐受发生率(18.8%)显著低于对照组(46.7%),差异有统计学意义(P<0.05)。结论:腹部抚触联合枯草杆菌二联活菌能避免或减少早产儿喂养不耐受的发生,且能缩短达到全胃肠喂养时间。
OBJECTIVE: To observe the curative effect of abdomen touching combined with Bacillus subtilis viable live in the treatment of premature infant feeding intolerance, and to explore the early intervention method of feeding intolerance in premature infants. Methods: 62 premature infants were randomly divided into observation group (32 cases) and control group (30 cases). Premature infants in both groups were given early feeding at the same time as conventional treatment. The observation group began to touch the abdomen on the second day after birth and the combination of Bacillus subtilis and B. subtilis granules was continued for 7 days. The preterm infants were compared between the amount of milk, residual milk, body weight at birth to restore the required age and abdominal distension, vomiting, meconium. Results: The daily intake of milk, residual milk, body weight at birth, age at birth, and total gastrointestinal nutrition in two groups of preterm infants were statistically significant (P <0.05 ). The incidence of feeding intolerance in observation group (18.8%) was significantly lower than that in control group (46.7%), the difference was statistically significant (P <0.05). Conclusion: The combination of abdominal touch with Bacillus subtilis viable can avoid or reduce the incidence of feeding intolerance in preterm infants, and can shorten the time of full gastrointestinal feeding.