重庆医学2024,Vol.53Issue(24) :3756-3759.DOI:10.3969/j.issn.1671-8348.2024.24.013

三阶梯俯卧位对低出生体重早产儿胃肠功能的影响

Effect of three-step prone position on gastrointestinal function of premature infants with low birth weight

曹秀娟 洪婷 应玲静 陈美仙
重庆医学2024,Vol.53Issue(24) :3756-3759.DOI:10.3969/j.issn.1671-8348.2024.24.013

三阶梯俯卧位对低出生体重早产儿胃肠功能的影响

Effect of three-step prone position on gastrointestinal function of premature infants with low birth weight

曹秀娟 1洪婷 1应玲静 1陈美仙1
扫码查看

作者信息

  • 1. 金华市中心医院新生儿科,浙江金华 321000
  • 折叠

摘要

目的 探讨低出生体重早产儿出生后予三阶梯俯卧位对其喂养状况、胃肠道功能及生长发育的相关影响.方法 选取2021年1月至2023年1月该院收治的82例低出生体重早产儿作为研究对象,根据住院期间喂养体位的不同分为观察组(三阶梯俯卧位,n=40)和对照组(常规仰卧位,n=42),比较两组喂养状况及住院时间、消化系统并发症及生长发育情况.结果 与对照组比较,观察组第1次开始经口喂养时间[(11.63±7.18)d vs.(14.81±6.57)d]、先口服后鼻饲过渡到完全经口喂养时间[(6.65±2.31)d vs.(8.05±3.45)d]、完全经口肠内喂养时间[(21.68±9.50)d vs.(25.81±9.21)d]及住院时间[(28.68±10.86)d vs.(33.64±10.67)d]更短,胃食管反流(7.50%vs.26.19%)、胃潴留(10.00%vs.28.57%)、呕吐(5.00%vs.21.43%)、腹胀(5.00%vs.23.81%)发生率更低,恢复至出生体重时间[(7.08±1.33)d vs.(7.83±1.58)d]更短,体重日增长率[(16.45±2.03)g·kg-1·d-1 vs.(15.45±2.35)g·kg-1·d-1]及身高周增长率[(0.97±0.14)cm/周vs.(0.91±0.11)cm/周]更快,差异有统计学意义(P<0.05).结论 三阶梯俯卧位可改善早产儿喂养不耐受、缩短住院时间、促进生长发育.

Abstract

Objective To investigate the related effects of three-step prone position on feeding status,gastrointestinal function and growth and development of low birth weight preterm infants.Methods A total of 82 low-birth-weight preterm infants admitted and treated in this hospital from January 2021 to January 2023 were selected as the study subjects.The patients were divided into the observation group(three-step prone position,n=40)and control group(conventional supine position,n=42)according to the feeding body position during hospitalization.The feeding status,length of hospital stay,gastrointestinal complications and growth and development were compared between the two groups.Results Compared with the control group,the time of first time oral feeding beginning in the observation group[(11.63±7.18)d vs.(14.81±6.57)d],the time of oral feeding and then nasal feeding to complete oral feeding[(6.65±2.31)d vs.(8.05±3.45)d],total oral and enteral feeding time[(21.68±9.50)d vs.(25.81±9.21)d]and hospitalization time[(28.68±10.86)d vs.(33.64±10.67)d]all were shorter;the incidence rates of gastroesophageal reflux(7.50%vs.26.19%),gastric retention(10.00%vs.28.57%),vomiting(5.00%vs.21.43%),abdominal distension(5.00%vs.23.81%)]in observation group were lower than those in the control group;the time of recovery to the birth weight was shorter[(7.08±1.33)d vs.(7.83±1.58)d],the daily growth rate of body weight and weekly growth rate of height were greater[(16.45±2.03)g·kg-1·d-1 vs.(15.45±2.35)g·kg-1·d 1,(0.97±0.14)cm/w vs.(0.91±0.11)cm/w],and the differences were statistically significant(P<0.05).Conclusion The three-step prone position could improve the feeding intolerance,shorten the hospitali-zation stay and promote the growth and development of premature infants.

关键词

三阶梯俯卧位/低出生体重/早产儿/胃肠功能/生长发育

Key words

three-step prone position/low birth weight/premature infants/gastrointestinal function/growth and development

引用本文复制引用

出版年

2024
重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
段落导航相关论文