【摘要】 目的探讨早期微量喂养、非营养性吸吮等护理措施对窒息后新生儿喂养不耐受的治疗效果。方法将67例喂养不耐受的窒息新生儿随机分为观察组(32例)和对照组(35例)。观察组给予早期微量喂养联合非营养性吸吮,并注意喂养时体位、腹部抚触、病情观察与记录等护理措施;对照组给予常规喂养及护理。结果两组患儿均未发生坏死性小肠结肠炎、吸入性肺炎等严重喂养并发症。两组达全量肠内营养时间、恢复至出生体质量时间、血清总胆红素水平、前白蛋白水平等比较,差异有统计学意义(均P<0.01)。结论微量喂养联合非营养性吸吮可促进窒息后新生儿胃肠道功能成熟,改善营养状况。更多还原

【Abstract】 Objective To explore the therapeutic effect of small quantity feeding and non-nutritive sucking for feeding intolerance neonates after suffocation.Methods Totally,67 neonates with post-asphyxia feeding intolerance were randomized into an observation group(n=32)and a control group(n=35).Neonates in the observation group were fed in small quantities and were given nutritive sucking,and such interventions as keeping appropriate position during feeding,abdominal caress,and close observation were also implemented.Neonates in the control group were subjected to routine feeding and nursing care.Results None of the two groups developed such severe complications as necrotizing enterocolitis and aspiration pneumonia,etc.The time to establish complete enteral nutrition and days to regain birth weight were significantly shorter,the level of serum total bilirubin was significantly lower and the level of the prealbumin was significantly higher in the observation group than those in the control group(P<0.01 for all).Conclusion Small quantity feeding in combination with non-nutritive sucking can boost gastrointestinal ripening in neonates,and improve their nutrition.更多还原