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目的分析游泳抚触联合母乳喂养对早产儿发育的临床效果。方法选择2010年3月-2014年3月在临海市妇幼保健院出生的120例早产儿为研究对象,将其随机分为四组,每组各30例。给予对照组早产儿母乳喂养和常规的护理。其他三组早产儿给予游泳抚触干预护理,喂养方式分别为母乳喂养、奶粉喂养和混合喂养。观察和比较四组早产儿的白蛋白、摄奶量、头围、身高、体重和并发症的发生情况。结果出生后一个月,四组早产儿的白蛋白和摄奶量相比较,差异有统计学意义(F=14.750、242.340,均P<0.05),以母乳喂养游泳抚触组最高。出生后一个月,四组早产儿的头围、身高和体重相比较,差异有统计学意义(F=43.472、49.852、8.707,均P<0.05)。以奶粉喂养游泳抚触组生长最佳。四组早产儿出现院内感染的情况相比较,母乳喂养游泳抚触组发生院内感染最低为3.3%,与其他组相比差异有统计学意义(χ2=11.961,P<0.05)。结论对早产儿采用母乳喂养联合游泳抚触进行干预,能有效提高早产儿体重增长和体格发育的速度,增强早产儿的机体免疫力,对早产儿的健康成长具有重要的作用。
Objective To analyze the clinical effect of swimming and touching combined breastfeeding on the development of premature infants. Methods A total of 120 preterm infants born in Linhai Maternal and Child Health Hospital from March 2010 to March 2014 were selected as study subjects and randomly divided into four groups with 30 cases in each group. Control group breastfeeding and routine nursing care of preterm infants. The other three groups of premature infants were given swimming care and nursing interventions, feeding methods were breastfeeding, milk powder feeding and mixed feeding. The incidence of albumin, milk intake, head circumference, height, weight and complications in the four groups of preterm infants were observed and compared. Results One month after birth, the albumin in four groups of preterm infants was significantly different from that of milk intake (F = 14.750, 242.340, all P <0.05). The swimming group with breast feeding was the highest. One month after birth, head circumference, height and weight of four groups of preterm infants were significantly different (F = 43.472, 49.852, 8.707, all P <0.05). Feeding with milk powder swimming group the best growth. Compared with the incidence of nosocomial infection in the four groups of premature infants, the lowest incidence of nosocomial infection was 3.3% in breastfeeding swim and massage group, which was significantly different from other groups (χ2 = 11.961, P <0.05). Conclusions The intervention of breast-feeding combined with swimming and touching in premature infants can effectively improve the rate of weight growth and physical development in premature infants, enhance the immunity of premature infants and play an important role in the healthy growth of premature infants.