【摘要】 目的:探讨无菌棉签蘸服糖水对极低出生体质量儿吸吮吞咽及胃肠功能的影响。方法:将36例极低出生体质量儿随机分为观察组(17例)和对照组(19例)。在常规治疗的基础上,观察组生后12小时内开始给予间歇鼻胃管喂养,每3小时1次,在每次鼻胃管喂养前用无菌棉签蘸服微量糖水,持续10天;对照组仅单纯给予间歇鼻胃管喂养。观察两组吸吮吞咽功能协调建立时间、恢复出生体质量时间、达足量肠内营养时间、发生喂养不耐受、高胆红素血症、呼吸暂停例次。结果:与对照组比较,观察组吸吮吞咽功能协调建立时间早(P<0.05),恢复出生体质量时间及达足量肠内营养时间快(P<0.05),发生喂养不耐受及高胆红素血症的人数减少(P<0.05)。两组发生呼吸暂停例次数差异无统计学意义(P>0.05)。结论:极低出生体质量儿在生后早期每次鼻胃管喂养前给予无菌棉签蘸服微量糖水能锻炼吸吮吞咽能力,促进胃肠道功能成熟,改善喂养不耐受,让患儿更易恢复出生体质量与达足量肠内营养,较少发生高胆红素血症。更多还原

【Abstract】 Objective:To explore the influence of glucose water intaking by sterile cotton swab dipping on sucking,swallowing and gastrointestinal function in very low birth weight(VLBW) infants.Methods:Thirty-six VLBW infants were randomly devided into study group(17 cases) and control group(19 cases).On the base of routine treatment,study group began to receive intermittent nasogastric tube feeding within 12 h after birth and was given minimal glucose water by sterile cotton swab dipping before nasogastric tube feeding every 3 h for 10 d.Control group was given intermittent nasogastric tube feeding alone.The time for infants to establish coordination function of sucking and swallowing,recover birth weight and reaching full enteral nutrition in both groups were observed.The cases of feeding intolerance and hyperbilirubinemia were recorded while average number of times of apnea were also recorded in both groups.Results:Compared to control group,study group established coordination function of sucking and swallowing earlier(P<0.05),recovered birth weight faster(P<0.05) and reached full enteral nutrition faster(P<0.05).Feeding intolerance and hyperbilirubinemia in study group occurred less than that in control group(P<0.05).There was no significant difference in average number of times of apnea between two groups(P>0.05).Conclusion:Minimal glucose water intaking by sterile cotton swab dipping before early nasogastric tube feeding every time in VLBW infants could help to train sucking and swallowing ability,promote gastrointestinal function maturity,improve feeding intolerance,recover birth weight and reach full enteral nutrition faster and decrease hyperbilirubinemia incidence.更多还原