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时间:2019-03-05
《非营养性吸吮在机械通气治疗早产儿中的应用》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、第14卷第3期中国当代儿科杂志Vol.14No.32012年3月ChinJContempPediatrMar.2012论著·临床研究非营养性吸吮在机械通气治疗早产儿中的应用罗春绸李瑞玲张淑芸林惠卿(福建医科大学附属漳州市医院新生儿科,福建漳州363000)[摘要]目的探讨非营养性吸吮在需要机械通气辅助治疗的早产儿中的作用。方法将68例需要机械通气辅助治疗的早产儿随机分为观察组(n=35)和对照组(n=33)。观察组进行非营养性吸吮,对照组不进行非营养性吸吮。比较两组患儿达全胃肠道喂养时间、恢复至出生体重时间、体重增长速度、住院时间、喂养耐受性、机
2、械通气并发症等。结果与对照组比较,观察组达全胃肠道营养时间及住院时间缩短(P<0.01),喂养相关并发症发生率低,体重增长快(P<0.05);恢复至出生体重时间及机械通气并发症发生率两组间差异无统计学意义(P>0.05)。结论在需要机械通气治疗的早产儿中采用非营养性吸吮可加快其生长发育速度、缩短住院时间,并能提高喂养耐受性,而机械通气并发症发生率没有上升。[中国当代儿科杂志,2012,14(3):169-171][关键词]非营养性吸吮;机械通气;生长发育;早产儿[中图分类号]R722.6[文献标识码]A[文章编号]1008-8830(2012)0
3、3-0169-03Applicationofnon-nutritivesuckinginpreterminfantsrequiringmechanicalventila-tionLUOChun-Chou,LIRui-Ling,ZHANGShu-Yun,LINHui-Qing.DepartmentofNeonatology,ZhangzhouMunicipalHospi-talAffiliatedtoFujianMedicalUniversity,Zhangzhou,Fujian363000,China(Eamil:wyj943@yeah.net)
4、Abstract:ObjectiveTostudytheroleofnon-nutritivesuckinginpreterminfantsrequiringmechanicalventilationtherapy.MethodsInastudyof68preterminfantsrequiringmechanicalventilation,arandomlyselectedobservationgroupof35infantswasprovidedwithnon-nutritivesuckingandacontrolgroupof33infan
5、tswasnot.Thetimetoreachfullenteralfeeding,birthweightrecoverytime,bodyweightgrowthrate,hospitalizationtime,feedingtoleranceandmechanicalventilation-relatedcomplicationswerecomparedbetweenthetwogroups.ResultsThetimetoreachfullenteralfeedingandhospitalizationtimewereshorter(P<0
6、.01),theincidenceoffeedingintolerancewaslower(P<0.05),andthebodyweightgrowthratewashigher(P<0.05)intheobservationgroupthaninthecontrolgroup.Therewerenosignificantdifferencesinthebirthweightrecoverytimeandtheincidenceofmechanicalventilation-relatedcomplicationsbetweenthetwogro
7、ups.ConclusionsTheuseofnon-nutritivesuckingcanincreasegrowthrate,shortenhospitalizationtimeandimprovefeedingtoleranceinpreterminfantsrequiringmechanicalventilationtherapy.Moreover,itdoesnotresultinanincreaseinmechanicalventilation-relatedcomplications.[ChinJContempPediatr,201
8、2,14(3):169-171]Keywords:Non-nutritivesucking;Mechanicalventilation;
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