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不同无创仪器辅助通气模式对早产儿喂养耐受性的影响

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目的:分析不同无创仪器辅助通气模式对早产儿喂养耐受性的影响.方法:选取2022年1月~2024年1月本院收治的102例早产儿.根据通气模式分为经鼻持续气道正压通气(nCPAP)组(n=50)、加温湿化高流量鼻导管通气(HHHFNC)组(n=52).比较两组患儿喂养情况及临床指标、生长发育情况、新生儿神经行为测定量表(NBNA)各项评分及并发症发生情况.结果:HHHFNC组喂养过渡时间、经口喂养时间、完全经口时间、住院时间均短于nCPAP组,喂养效率、无创通气时间高于nCPAP组(P<0.05);HHHFNC组生长发育情况高于nCPAP组(P<0.05);HHHFNC组新生儿神经行为测定量表(NBNA)评分高于nCPAP组(P<0.05);HHHFNC组腹胀、喂养不耐受发生率低于nCPAP组(P<0.05).结论:对比nCPAP模式,HHHFNC模式更有效改善早产儿喂养和生长发育情况,还可改善神经行为能力,降低腹胀、喂养不耐受发生率.
Effects of Different Non-Invasive Instrument-Assisted Ventilation Modes on Feeding Tolerance of Premature Infants
Objective:To analyze the effects of different non-invasive instrument-assisted ventilation modes on feeding tolerance of premature infants.Methods:A total of 102 premature infants admitted to our hospital from January 2022 to January 2024 were selected.According to the ventilation mode,they were divided into nasal continuous positive airway pressure(nCPAP)group(n=50)and warm humidified high flow nasal catheter ventilation(HHHFNC)group(n=52).The feeding status,clinical indicators,growth and development,scores of neonatal neurobehavioral scale(NBNA)and complications were compared between the two groups.Results:The feeding transition time,oral feeding time,complete oral feeding time and hospital stay in HHHFNC group were shorter than those in nCPAP group,and the feeding efficiency and non-invasive ventilation time were higher than those in nCPAP group(P<0.05).The growth and development of HHHFNC group was higher than nCPAP group(P<0.05).The score of neonatal neurobehavioral scale(NBNA)in HHHFNC group was higher than that in nCPAP group(P<0.05).The incidence of abdominal distension and feeding intolerance in HHHFNC group was lower than that in nCPAP group(P<0.05).Conclusion:Compared with nCPAP mode,HHHFNC mode is more effective in improving the feeding,growth and development of premature infants.HHHFNC mode can also improve the neurobehavioral ability and reduce the incidence of abdominal distension and feeding intolerance.

non-invasiveassistventilation modepremature infantsfeeding tolerance

蔡红珠

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晋江市医院新生儿科 (福建 晋江 362200)

无创 辅助 通气模式 早产儿 喂养耐受性

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(18)