您的账号已在其他设备登录,您当前账号已强迫下线,
如非您本人操作,建议您在会员中心进行密码修改

确定

胎龄小于32周早产儿肠内喂养情况回顾性分析

Retrospective analysis of enteral feeding of premature infants with gestational age less than 32 weeks

摘要:

目的:了解胎龄<32周早产儿的肠内喂养情况和喂养不耐受发病率及肠内喂养中存在的困难和问题。方法:对2018年1至12月广州医科大学附属第三医院新生儿重症监护病房收治的胎龄<32周早产儿进行回顾性分析,按照喂养耐受性将其分为喂养耐受组和喂养不耐受组。喂养耐受组76例,男45例(59.2%,45/76例),胎龄(29.43±1.42)周;喂养不耐受组79例,男48例(60.8%,48/79例),胎龄(29.16±1.60)周。了解喂养不耐受的发生率,并比较喂养耐受组和喂养不耐受组早产儿住院期间的肠内喂养、生长发育和主要诊疗情况。结果:1.胎龄<32周的早产儿,均使用早产儿住院期间配方奶开奶,出生48 h内开奶的占92.9%(144/155例),出生24 h内开奶的占76.1%(118/155例),喂养耐受组和喂养不耐受组开奶量分别为(12.24±4.37)mL/(kg·d)和(11.23±4.88) mL/(kg·d),差异无统计学意义( t=0.812, P>0.05)。2.喂养耐受组和喂养不耐受组出生第1周的加奶速度分别为(8.69±4.30) mL/(kg·d) 和(4.29±4.02) mL/(kg·d);出生第2周的加奶速度分别为(8.43±0.45) mL/(kg·d)和(4.26±2.75) mL/(kg·d),2组比较差异均有统计学意义( t=6.583、 t′=13.294,均 P<0.05)。3.喂养耐受组和喂养不耐受组早产儿达足量肠内喂养时间分别为(20.55±9.66) d和(34.88±15.02) d,差异有统计学意义( t=7.489, P<0.05)。4.喂养耐受组较喂养不耐受组住院时间短、体质量增长多、宫外发育迟缓发生率下降。5.胎龄<32周早产儿喂养不耐受的发生率为50.9 %(79/155例),胎粪排出延迟、输血、无创呼吸机辅助通气、使用激素、使用抗生素超过2周、患有支气管肺发育不良可能与喂养不耐受相关。 结论:胎龄<32周的早产儿肠内喂养不理想,喂养不耐受发生率偏高,医务人员喂养方案有待改进。

更多
abstracts:

Objective:To investigate the status of enteral feeding and the incidence of feeding intolerance in premature infants less than 32 weeks of gestation age, as well as the difficulties during enteral feeding.Methods:A retrospective analysis was conducted on preterm infants less than 32 weeks of gestation age admitted to the Neonatal Intensive Care Unit of the Third Affiliated Hospital of Guangzhou Medical University from January to December 2018.The infants were divided into 2 groups: 76 cases in the feeding tolerance group, 45 males (59.2%, 45/76 cases), mean gestational age (29.43±1.42) weeks; 79 cases in the feeding intolerance group, 48 males (60.8%, 48/79 cases), mean gestational age (29.16±1.60) weeks.The incidence of feeding intolerance was explored, and the enteral feeding, growth and main diagnosis as well as treatment during hospitalization between the 2 groups were compared.Results:(1) For preterm infants less than 32 weeks of gestation age, 92.9%(144/155 cases) of infants were given formula milk within 48 hours after birth, and 76.1% (118/155 cases) of infants were given formula milk within 24 hours after birth, the initial milk feeding volume of the 2 groups were [(12.24±4.37) mL/ (kg·d) vs.(11.23±4.88) mL/(kg·d), t= 0.812, P>0.05]. (2) The rate of milk volume increase in the feeding tolerance group and feeding intolerance group were [(8.69±4.30)mL / (kg·d) vs.(4.29±4.02) mL / (kg·d) in week 1; (8.43±0.45) mL / (kg·d) vs.(4.26±2.75) mL / (kg·d) in week 2, t=6.583, t′=13.294, all P<0.05)]. (3) The duration of achieving sufficient enteral feeding in the feeding tolerance and feeding intolerance group premature infant were[(20.55±9.66) d vs.(34.88±15.02) d, t=7.489, P<0.05]. (4) The feeding tolerance group had shorter hospital stay, more weight gain and lower incidence of extrauterine growth retardation than the feeding intolerance group.(5) The incidence of feeding intolerance was 50.9% (79/155 cases) in preterm infants less than 32 weeks of gestation age, delayed meconium excretion, blood transfusion, non-invasive mechanical ventilation, use of hormones, use of antibiotics for more than 2 weeks, bronchopulmonary dysplasia may be associated with feeding intolerance. Conclusion:Enteral feeding is not ideal for preterm infants less than 32 weeks of gestation age, and the incidence of feeding intolerance is high.The feeding plan of medical staff needs to be improved.

More
作者: 李颖 [1] 吴繁 [1] 崔其亮 [1]
期刊: 《中华实用儿科临床杂志》2020年35卷23期 1781-1785页 ISTICPKUCA
栏目名称: 新生儿疾病
DOI: 10.3760/cma.j.cn101070-20190820-00770
发布时间: 2021-01-11
  • 浏览:22
  • 下载:11

加载中!

相似文献

  • 中文期刊
  • 外文期刊
  • 学位论文
  • 会议论文

加载中!

加载中!

加载中!

加载中!