探讨初乳口腔滴注对早产极低体重儿的影响
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  • 英文篇名:Effect of Oral Administration of Colostrum on Preterm Low Birth Weight Infants
  • 作者:李晓玲 ; 何丽虹
  • 英文作者:Li Xiaoling;Department of Neonatal Pediatrics,Yingde People's Hospital;
  • 关键词:初乳口腔滴注 ; 早产 ; 极低体重儿 ; 效果
  • 英文关键词:colostrum oral smear;;premature birth;;very low birth weight children;;effect
  • 中文刊名:SLYY
  • 英文刊名:Journal of Mathematical Medicine
  • 机构:英德市人民医院新生儿科;
  • 出版日期:2018-08-07
  • 出版单位:数理医药学杂志
  • 年:2018
  • 期:v.31
  • 语种:中文;
  • 页:SLYY201808023
  • 页数:2
  • CN:08
  • ISSN:42-1303/R
  • 分类号:51-52
摘要
目的:初乳口腔滴注对早产极低体重儿的影响进行探讨分析。方法:选取2016年5月~2018年5月收治的早产极低体重儿共计40例,按照随机数字表法分为研究组(n=20)和参照组(n=20),对照组患儿给予生理盐水口腔涂抹,观察组患儿给予初乳口腔滴注,对比分析两组患儿住院时间、喂养情况及并发症发生率。结果:研究组患儿在住院时间、肠内营养、经口喂养、全肠道喂养等指标均明显少于参照组,组间对比差异有统计学意义(P<0.05);研究组患儿在败血症、喂养不耐受、高胆红素血症、坏死性小肠结肠炎等并发症发生率均低于参照组,统计学对比分析差异显著(P<0.05)。结论:初乳口腔滴注对早产极低体重儿的效果较好,可减少并发症的发生,改善喂养情况,值得在临床中广泛推广并应用。
        Objective:To investigate the effects of oral administration of colostrum on preterm low birth weight infants.Methods:A total of 60 preterm very low birth weight children were enrolled from May 2016 to May 2018.The patients were divided into study group(n=20)and reference group(n=20)according to the random number table.Children in the control group were treated with normal saline oral smear,and those in the observation group were treated with oral colostrum drip.The hospitalization time,feeding condition and complication rate of the two groups were compared and analyzed.Results:The length of hospitalization,enteral nutrition,oral feeding and total enteral feeding in the study group were significantly lower than those in the reference group,and the difference between the two groups was statistically significant(P<0.05).The incidence of complications such as sepsis,feeding intolerance,hyperbilirubinemia and necrotizing enterocolitis in the study group was lower than that in the reference group,with statistically significant difference(P<0.05).Conclusion:The colostral oral smear is very effective in preterm low birth weight infants,which can reduce the incidence of complications and improve the feeding situation.It is worth widely popularized and applied in clinic.
引文
1陈利芬,张琳,莫革琴,等.初乳口腔滴注对早产极低体重儿的影响.齐鲁护理杂志,2017,23(18):114~116.
    2 宁雪梅,鲁利群,李烨,等.初乳滴注口腔对早产儿经口喂养效果的影响.西南国防医药,2017,27(10):1074~1076.
    3 季福婷,张玉侠.极低出生体重儿初乳口腔滴注的研究进展.中国实用护理杂志,2016,32(13):1034~1037.
    4 季福婷,张玉侠.极低出生体重儿初乳口腔滴注安全性和可行性的研究.护理研究,2016,30(31):3882~3886.
    5 王美芳,代秀梅,董仕霞,等.探讨初乳口腔免疫疗法(C-OIT)在早产儿中应用的疗效观察.全科口腔医学电子杂志,2016,3(7):57~58;60.
    6 季福婷,张玉侠,胡晓静,等.初乳口腔滴注对极低出生体重儿喂养状况的效果研究.中华护理杂志,2016,51(10):1157~1160.

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