早期微量喂养联合非营养性吮吸对窒息后喂养不耐受新生儿的效果分析

新生儿窒息会损伤新生儿脏器功能 ，使其出现胃潴留 、 呕吐等不良症状 ，导致喂养不耐受[1]。新生儿若未及时接受 有效的治疗措施 ，将极大威胁患儿生命安全。本研究选取 2017 年 8 月至 2019 年 2 月本院就诊的 60 例窒息后喂养不耐 受新生儿 ，对其分别采用非营养性吮吸与联合早期微量喂养 治疗 ，并对其治疗效果展开分析 ，现报道如下。
关键词：窒息 ；喂养不耐受 ；Fra bibliotek生儿 ；非营养性吮吸 ；早期微量喂养 ；临床疗效
Effect of early micro-feeding combined with non-nutri‐ tive sucking on feeding intolerance neonates after asphyxia
Zhu Linmeng
(Department of NICU, Shenyang Children' s Hospital, Shenyang, Liaoning, 110032, China) Abstract: Objective To analyze the effect of early micro-feeding combined with non-nutritive sucking on neonates with feeding intolerance af‐ ter asphyxia. Methods 60 neonates with feeding intolerance after asphyxia were randomly divided into control group and observation group from August 2017 to February 2019, with 30 cases in each group. The control group was treated with non-nutritive sucking, while the observation group was treated with early micro-feeding combined with non-nutritive sucking. The recovery time of total enteral nutrition, birth weight, serum total bili‐ rubin level and complications of the two groups were compared. Results After treatment, the recovery time of total enteral nutrition and birth weight of newborns in the observation group was shorter than that in the control group, and the difference was significant (P＜0.05); The albumin level in the observation group was higher than that in the control group, and the total bilirubin level was lower than that in the control group, the dif‐ ference was significant (P＜0.05); the complication rate in the observation group was 6.67%, lower than that in the control group (10.00%), but there was no significant difference between two groups. Conclusion Early micro-feeding combined with non-nutritive sucking therapy can shorten the total enteral nutrition and recovery time of birth weight, improve the serum total bilirubin level of neonates with feeding intolerance after asphyx‐ ia, and has a high therapeutic safety. Key words: Asphyxia; Feeding intolerance; Neonates; Non-nutritive sucking; Early micro-feeding; Clinical efficacy
朱林梦
（沈阳市儿童医院 NICU，辽宁 沈阳 110032）
摘要：目的 分析早期微量喂养联合非营养性吮吸对窒息后喂养不耐受新生儿的效果。方法 选取 2017 年 8 月至 2019 年 2 月本院收治 的窒息后喂养不耐受新生儿 60 例，随机分成参照组及观察组，各 30 例。对参照组行非营养性吮吸治疗，观察组施行早期微量喂养联合非营养 性吮吸治疗。比较两组新生儿的恢复全量肠内营养、出生体质量所需时间、血清总红胆素水平及并发症情况。结果 治疗后，观察组新生儿 恢复全量肠内营养 、出生体质量所需时间短于参照组 ，差异有统计学意义（P＜0.05）；观察组的白蛋白水平高于参照组 ，总胆红素水平低于参 照组，差异有统计学意义（P＜0.05）；观察组的并发症发生率为 6.67%，低于参照组的 10.00%，但差异无统计学意义。结论 对窒息后喂养不 耐受新生儿应用早期微量喂养联合非营养性吮吸治疗干预措施 ，可缩短其全量肠内营养及出生体质量恢复时间 ，改善血清总胆红素水平 ，且 治疗安全性较高。
当代医学 2020 年 3 月第 26 卷第 7 期总第 558 期 Contemporary Medicine，Mar.2020，Vol.26 No.7 Issue No.558
doi：10.3969/j.issn.1009-4393.2020.07.028
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早期微量喂养联合非营养性吮吸对窒息后喂养 不耐受新生儿的效果分析