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目的探讨采用鼻饲喂养在进行机械通气治疗的新生儿中的临床作用以及应用价值。方法选取我院从2010年3月到2011年3月收治的需要采用机械通气的新生儿共42例。随机将患儿分为两组,其中观察组患者采用鼻饲喂养;对照组患儿采用外周静脉营养支持。结果两组患儿在胃肠道功能紊乱以及坏死性小肠结肠炎的发病率中,两组患儿没有显著性差异(P>0.01);而在住院天数、呼吸机应用时间以及全量胃肠道营养时间中,两组对比有显著性差异,观察组患者的情况明显要优于对照组患儿(P<0.01)。结论在机械通气新生儿中采用鼻饲喂养能够刺激新生儿胃肠道功能,避免喂养以及营养问题。同时能有效减低新生儿采用呼吸机的天数,达到全量喂食的时间,是一种安全有效的营养支持喂养方法 。
Objective To investigate the clinical effects and application value of nasal feeding in newborns with mechanical ventilation. Methods A total of 42 newborn infants undergoing mechanical ventilation were selected from March 2010 to March 2011 in our hospital. The children were randomly divided into two groups, the observation group of patients fed by nasal feeding; the control group of children with peripheral vein nutrition support. Results There was no significant difference between the two groups in the incidence of gastrointestinal disorders and necrotizing enterocolitis in both groups (P> 0.01). However, there was no significant difference between the two groups in the days of hospitalization, the time of ventilator application, Nutritional time, the two groups were significantly different, the observation group was significantly better than the control group of children (P <0.01). Conclusion Nasal feeding in mechanically ventilated newborns can stimulate gastrointestinal function in newborns and avoid feeding and nutritional problems. At the same time can effectively reduce the number of neonatal ventilator days, to full feeding time, is a safe and effective nutritional support feeding method.