母乳喂养预防早产儿坏死性小肠结肠炎的效果
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摘要
目的分析母乳喂养在预防早产儿坏死性小肠结肠炎的实际应用效果。方法选取天津市滨海新区塘沽妇产医院2016年1月-2017年12月期间出生的160例早产儿作为研究对象,随机分为对照组和观察组各80例。对照组采用早产儿奶粉进行喂养,观察组采用母乳喂养方式,观察两组坏死性小肠结肠炎的发生率以及出生60 d的早产儿身体生长速度。结果观察组坏死性小肠结肠炎发生率为2.50%,明显低于对照组的11.25%,差异有统计学意义(P<0.05);出生60 d观察组体质量生长速度、身长生长速度以及头围生长速度分别为(22.32±6.41)/d、(1.34±0.25)cm/周和(0.95±0.22)cm/周,明显高于对照组早产儿的(18.83±5.54)/d、(0.92±0.23)cm/周和(0.71±0.18)cm/周,差异均有统计学意义(P<0.05)。结论母乳喂养方式可以有效预防早产儿坏死性小肠结肠炎,并且有助于早产儿健康成长。
Objective To analyze the practical effect of breastfeeding on prevention of necrotizing enterocolitis in premature infants. Methods 160 premature infants born in Tanggu Obstetrics and Gynecology Hospital of Tianjin Binhai New Area from January 2016 to December 2017 were selected as the research objects, and randomly divided into control group and observation group with 80 cases in each group. The control group was fed with premature infant milk powder, while the observation group was fed with brestfeeding. The incidence of necrotizing enterocolitis and the growth rate of 60 days were observed.Results The incidence of necrotizing enterocolitis was 2. 50 % in the control group, which was significantly lower than 11.25% in the control group, the difference was statistically significant(P<0.05). The growth rates of body mass, body length and head circumference of the 60-day-old newborns in the ob-servation group were(22.32 ±6.41)/d,(1.34 ±0.25) cm/week and(0.95 ±0.22) cm/week respectively, which were significantly higher than those of the control group with(18.83 ±5.54)/d,(0.92 ±0.23) cm/week and(0.71±0.18) cm/week, the differences were statistically significant(P<0.05). Conclusion Breastfeeding can effectively prevent necrotizing enterocolitis and contribute to the healthy growth of premature infants.
Objective To analyze the practical effect of breastfeeding on prevention of necrotizing enterocolitis in premature infants. Methods 160 premature infants born in Tanggu Obstetrics and Gynecology Hospital of Tianjin Binhai New Area from January 2016 to December 2017 were selected as the research objects, and randomly divided into control group and observation group with 80 cases in each group. The control group was fed with premature infant milk powder, while the observation group was fed with brestfeeding. The incidence of necrotizing enterocolitis and the growth rate of 60 days were observed.Results The incidence of necrotizing enterocolitis was 2. 50 % in the control group, which was significantly lower than 11.25% in the control group, the difference was statistically significant(P<0.05). The growth rates of body mass, body length and head circumference of the 60-day-old newborns in the ob-servation group were(22.32 ±6.41)/d,(1.34 ±0.25) cm/week and(0.95 ±0.22) cm/week respectively, which were significantly higher than those of the control group with(18.83 ±5.54)/d,(0.92 ±0.23) cm/week and(0.71±0.18) cm/week, the differences were statistically significant(P<0.05). Conclusion Breastfeeding can effectively prevent necrotizing enterocolitis and contribute to the healthy growth of premature infants.
引文
[1]陈小兰,赖春华,杨春晖,等.早产儿母乳喂养与早产儿坏死性小肠结肠炎的关系探讨[J].中国妇幼卫生杂志,2016(6):42-44.
[2]周雪玫.浅析导致早产儿坏死性小肠结肠炎发生的危险因素[J].当代医药论丛,2017,15(6):51-52.
[3]杜桂莲,许艳,许玲.足月早产儿坏死性小肠结肠炎发生特征及危险因素分析[J].中国现代药物应用,2017,11(9):22-24.
[4] Colaizy TT,Bartick MC,Jegier BJ,et al.Impact of Optimized Breastfeeding on the Costs of Necrotizing Enterocolitis in Extremely Low Birthweight Infants[J].J Pediatr,2016(175):100-105.
[5] Li QF,Wang H,Liu D,et al.Application of prolonging small feeding volumes early in life to prevent of necrotizing enterocolitis in very low birth weight preterm infants[J].International Journal of Nursing Sciences,2016,3(1):45-49.
[6]宗小敏,梁萍,戈桂琼.母乳喂养预防早产儿坏死性小肠结肠炎的效果[J].中国社区医师,2017,33(28):88.
[7]尹燕,黄兴楚,谢化胜,等.母乳喂养预防极低出生体重儿坏死性小肠结肠炎作用分析[J].解放军医药杂志,2017,29(9):103-105.
[8]王喜成.早产儿坏死性小肠结肠炎36例临床分析[J].基层医学论坛,2016,20(8):1069-1070.
[9]万改红,孙桂云.稀释性母乳喂养降低早产儿发生早产儿坏死性小肠结肠炎的临床研究[J].卫生职业教育,2016,34(11):155-156.
[10]熊芸芸.早产儿坏死性小肠结肠炎危险因素的Logistic回归分析及临床护理对策探讨[J].黔南民族医专学报,2017,30(1):39-41.
[11]卢露,屠文娟.预防坏死性小肠结肠炎的母乳成分及其作用机制研究进展[J].中华实用儿科临床杂志,2017,32(2):149-151.
[12]刘亚丽,许丽,魏克伦.早产及低出生体重儿输血相关坏死性小肠结肠炎发病机制与防治研究进展[J].山东医药,2016,56(19):97-99.
[13]程舒鹏,芦起,周敏,等.胎龄小于34周早产儿坏死性小肠结肠炎危险因素的病例对照研究[J].中国循证儿科杂志,2016,11(2):122-125.
[14]张兰,徐友岚,李敏许.早产极低出生体重儿并发坏死性小肠结肠炎危险因素分析[J].中国妇幼保健,2017,32(15):3515-3517.
[15]李玲.54例早产儿坏死性小肠结肠炎的临床分析[J].临床医药文献电子杂志,2017,4(55):10707.
[2]周雪玫.浅析导致早产儿坏死性小肠结肠炎发生的危险因素[J].当代医药论丛,2017,15(6):51-52.
[3]杜桂莲,许艳,许玲.足月早产儿坏死性小肠结肠炎发生特征及危险因素分析[J].中国现代药物应用,2017,11(9):22-24.
[4] Colaizy TT,Bartick MC,Jegier BJ,et al.Impact of Optimized Breastfeeding on the Costs of Necrotizing Enterocolitis in Extremely Low Birthweight Infants[J].J Pediatr,2016(175):100-105.
[5] Li QF,Wang H,Liu D,et al.Application of prolonging small feeding volumes early in life to prevent of necrotizing enterocolitis in very low birth weight preterm infants[J].International Journal of Nursing Sciences,2016,3(1):45-49.
[6]宗小敏,梁萍,戈桂琼.母乳喂养预防早产儿坏死性小肠结肠炎的效果[J].中国社区医师,2017,33(28):88.
[7]尹燕,黄兴楚,谢化胜,等.母乳喂养预防极低出生体重儿坏死性小肠结肠炎作用分析[J].解放军医药杂志,2017,29(9):103-105.
[8]王喜成.早产儿坏死性小肠结肠炎36例临床分析[J].基层医学论坛,2016,20(8):1069-1070.
[9]万改红,孙桂云.稀释性母乳喂养降低早产儿发生早产儿坏死性小肠结肠炎的临床研究[J].卫生职业教育,2016,34(11):155-156.
[10]熊芸芸.早产儿坏死性小肠结肠炎危险因素的Logistic回归分析及临床护理对策探讨[J].黔南民族医专学报,2017,30(1):39-41.
[11]卢露,屠文娟.预防坏死性小肠结肠炎的母乳成分及其作用机制研究进展[J].中华实用儿科临床杂志,2017,32(2):149-151.
[12]刘亚丽,许丽,魏克伦.早产及低出生体重儿输血相关坏死性小肠结肠炎发病机制与防治研究进展[J].山东医药,2016,56(19):97-99.
[13]程舒鹏,芦起,周敏,等.胎龄小于34周早产儿坏死性小肠结肠炎危险因素的病例对照研究[J].中国循证儿科杂志,2016,11(2):122-125.
[14]张兰,徐友岚,李敏许.早产极低出生体重儿并发坏死性小肠结肠炎危险因素分析[J].中国妇幼保健,2017,32(15):3515-3517.
[15]李玲.54例早产儿坏死性小肠结肠炎的临床分析[J].临床医药文献电子杂志,2017,4(55):10707.