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[目的]观察腹部按摩结合口服双歧杆菌乳杆菌三联活菌片预防极低出生体重儿发生喂养不耐受的效果。[方法]将39例极低出生体重儿随机分为观察组19例和对照组20例,对照组予以常规护理,观察组予以常规护理加以腹部按摩结合口服双歧杆菌乳杆菌三联活菌片2周,观察比较两组极低出生体重儿喂养不耐受发生率及极低出生体重儿恢复至出生体重的天数。[结果]观察组发生喂养不耐受4例(21.1%),对照组发生喂养不耐受11例(55.0%),观察组预防极低出生体重儿发生喂养不耐受效果优于对照组,差异有统计学意义(P<0.05);观察组极低出生体重儿恢复至出生体重时间(8.07d±1.67d)明显短于对照组(9.74d±1.82d),差异有统计学意义(P<0.01)。[结论]腹部按摩结合口服双歧杆菌乳杆菌三联活菌片,可有效预防极低出生体重儿发生喂养不耐受,促进低体重儿生长发育。
[Objective] To observe the effects of abdominal massage combined with oral live Bifidobacterium Lactobacillus triple probiotics in preventing feeding intolerance in very low birth weight infants. [Method] Thirty-nine cases of very low birth weight children were randomly divided into observation group (19 cases) and control group (20 cases). The control group received routine nursing. The observation group received routine nursing and abdominal massage combined with oral Bifidobacterium Lactobacillus Week, observing and comparing the incidence of feeding intolerance and the number of days of very low birth weight children returning to birth weight in two groups of very low birth weight infants. [Results] Feeding intolerance in observation group occurred in 4 cases (21.1%), feeding intolerance in control group occurred in 11 cases (55.0%). The observation group was superior to the control group in preventing feeding intolerance in very low birth weight children, The difference was statistically significant (P <0.05). The time from the lowest birth weight to the lowest birth weight in observation group (8.07d ± 1.67d) was significantly shorter than that in control group (9.74d ± 1.82d), with significant difference (P <0.01). [Conclusion] The combination of abdominal massage and oral Bifidobacterium Lactobacillus triple live attenuated can effectively prevent intolerance of very low birth weight infants and promote the growth and development of low birth weight infants.