论文部分内容阅读
目的评仨对极低出生体重儿(VLBW)进行持续鼻饲喂养(CNG)和间断鼻饲喂养(IBG)的优缺点,找出更适合于VLBW的喂养方法。方法将收住NICU的87例VLBW进行随机分组,分别予CNG(44例)或IBG(43例)喂养。对比VLBW和CNG和IBG的喂养不耐受性(FI)、达到完全喂肠道喂养时间(FEF)(100kcal/(kg·d))、恢复出生体重时间(RBW)、停止静脉补液时间及平均住院日。CNG起始奶量1ml/h,每持续10h停止2h,以后每天增加1ml/h;IBG组奶量以20ml/(kg·d))开始,每天增加20ml/kg;所有VLBW均同时进行部分静脉营养,直至达到FEF。结果CNG组较IBG组出现FI的例数少,分别为7/44和21/43例,P<0.05;而达到EFE早,(15.8±2.2)d和(19.9±2.3)d;静脉补液时间短,(16.2±3.3)d和(25.2±2.5)d,两组间存在显著性差异,P<0.01;而RBW(13.3±1.8)d和(13.5±2.3)d及平均住院日(45.7±9.7)d和(46.5±10.8)d,无明显差异,P>0.05。结论VLBW更耐受CNG喂养,其达到完全胃肠喂养时间及静脉补液时间较IBG短。
Objectives To evaluate the advantages and disadvantages of continuous nasogastric feeding (CNG) and intermittent nasal feeding (IBG) for very low birth weight infants (VLBW) to find out more suitable feeding strategies for VLBW. Methods Eighty-seven VLBW patients receiving NICU were randomly divided into three groups: CNG (44 cases) or IBG (43 cases). Feeding intolerance (FI) of VLBW, CNG and IBG was compared to complete feeding time (FEF) (100 kcal / (kg · d)), birth weight recovery time (RBW), mean time to stop intravenous rehydration and mean Hospitalization days. CNG initial milk volume 1ml / h, every 10h stopped for 2h, then increase daily 1ml / h; IBG milk volume in 20ml / (kg · d)) start daily increase 20ml / kg; all VLBW at the same time part of the vein Nutrition, until FEF. Results The number of cases with FI in CNG group was significantly lower than that in IBG group (7/44 and 21/43, respectively, P <0.05), and reached the early EFE (15.8 ± 2.2) days and (19.9 ± 2.3) (16.2 ± 3.3) d and (25.2 ± 2.5) d respectively, there was a significant difference between the two groups (P <0.01); while RBW (13.3 ± 1.8) d and (13.5 ± 2.3) d and average length of hospital stay (45.7 ± 9.7) d and (46.5 ± 10.8) d, no significant difference, P> 0.05. CONCLUSION VLBW is more resistant to CNG feeding than is IBG in achieving complete gastrointestinal feeding and intravenous rehydration.