摘要
目的:探讨早产儿应用不同体位鼻饲喂养对生长发育的影响.方法:选取 2020 年 1 月～2021 年 10 月粤北人民医院 195 例早产儿作为本次研究对象,按照不同体位鼻饲喂养方式分为左侧卧位组以及右侧卧位组、俯卧位组,每组各 65例,分别对三组早产儿实施左右卧位以及俯卧位,对三组早产儿生长发育情况进行详细记录.结果:俯卧位组头围增长以及身高增长、体重增长情况优于左侧卧位组与右侧卧位组,差异有统计学意义(P<0.05);俯卧位组腹胀次数、胃残奶次数、呕吐次数以及血氧下降次数(5.00%、5.00%、7.50%、5.00%)低于左侧卧位组(22.50%、25.00、27.50%、25.00%)与右侧卧位组(20.00%、20.00、22.50%、22.50%),差异有统计学意义(P<0.05);俯卧位组光疗时间及黄疸持续时间短于左侧卧位组与右侧卧位组,差异有统计学意义(P<0.05).结论:早产儿采用俯卧位鼻饲喂养能够进一步促进身高增长、体重增长情况,缩短光疗时间及黄疸持续时间,避免腹胀、胃残奶、呕吐以及血氧下降等情况发生.
Abstract
Objective To investigate the effects of nasal feeding in different postures on the growth and development of premature infants.Method 195 premature infants from January 2020 to October 2021 at the People's Hospital of North Guangdong were selected as the study subjects,they were divided into left lateral position group,right lateral position group and prone position group according to different postures,each group had 65 cases,Implement left and right lying positions and prone positions for three groups of premature in-fants,and record in detail the growth and development of the three groups of premature infants.Results The growth of head circumfer-ence,body height and body weight in prone position group was better than that in left and right prone position group(P<0.05);The Times of Abdominal distension,gastric milk residue,vomiting and decrease of blood oxygen(5.00%,5.00%,7.50%,5.00%)in prone position group were lower than those in left-lateral position group(22.50%,25.00,27.50%,25.00%)and right-lateral posi-tion group(20.00%,20.00,22.50%,22.50%)(P<0.05);The duration of phototherapy and jaundice in prone position group was shorter than that in left lateral position group and right lateral position group(P<0.05).Conclusion Nasal feeding in prone position can further promote the growth of body height and weight,shorten the duration of phototherapy and jaundice,and avoid abdominal dis-tension,residual milk in stomach,vomiting and hypoxemia.
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