張紅麗 蔣慧玲 高麗娟

[摘要] 目的 探討早期微量喂養(yǎng)聯(lián)合腹部按摩對(duì)早產(chǎn)兒胃腸功能及生長(zhǎng)發(fā)育的影響。 方法 選取2016年1月～2018年7月在我院住院的早產(chǎn)兒84例，將其隨機(jī)分為觀察組與對(duì)照組，每組42例。兩組早產(chǎn)兒均予以早期微量喂養(yǎng)，觀察組在此基礎(chǔ)上采用腹部按摩，兩組療程均為2周。觀察并比較兩組早產(chǎn)兒胃腸功能及生長(zhǎng)發(fā)育指標(biāo)的變化。 結(jié)果? 觀察組早產(chǎn)兒的胎便初排時(shí)間和胎便轉(zhuǎn)黃時(shí)間明顯短于對(duì)照組，日排便頻率明顯高于對(duì)照組，喂養(yǎng)不耐受率明顯低于對(duì)照組（P<0.05）。觀察組2周內(nèi)體質(zhì)量增長(zhǎng)速度和頭圍增長(zhǎng)速度明顯大于對(duì)照組（P<0.05）。結(jié)論 早期微量喂養(yǎng)聯(lián)合腹部按摩用于早產(chǎn)兒不僅能改善胃腸功能，促進(jìn)胃腸蠕動(dòng)，減少喂養(yǎng)不耐受率;而且能加快短期內(nèi)體質(zhì)量和頭圍的增長(zhǎng)，促進(jìn)生長(zhǎng)發(fā)育。

[關(guān)鍵詞] 早產(chǎn)兒;早期微量喂養(yǎng);腹部按摩;胃腸功能;生長(zhǎng)發(fā)育

[中圖分類號(hào)] R473.72? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] B? ? ? ? ? [文章編號(hào)] 1673-9701（2020）04-0060-03

Effect of early micro-feeding combined with abdominal massage on gastrointestinal function， growth and development of premature infants

ZHANG Hongli? ?JIANG Huiling? ?GAO Lijuan

Department of Pediatrics， Lishui Central Hospital in Zhejiang Province， Lishui? ?323000， China

[Abstract] Objective To investigate the effect of early micro-feeding combined with abdominal massage on gastrointestinal function， growth and development of premature infants. Methods 84 premature infants admitted in our hospital from January 2016 to July 2018 were randomly divided into observation group and control group， with 42 cases in each group. Both groups were given early micro-feeding. The observation group was given abdominal massage on the above basis. The two courses were 2 weeks. The changes in gastrointestinal function and growth and development indicators in two groups were observed and compared. Results The fetal stool time and meconium turning yellow time of fetus in the observation group and the yellowing of the fetus was significantly shorter than that of the control group， and the frequency of daily defecation in the observation group was significantly higher than that of the control group. The feeding intolerance rate in the observation group was significantly lower than that of the control group（P<0.05）. The growth rate of body mass and head circumference in the observation group was significantly higher than that in the control group within 2 weeks （P<0.05）. Conclusion Early microfeeding combined abdominal massage for premature infants can not only improve gastrointestinal function， promote gastrointestinal motility， reduce feeding intolerance rate， but also accelerate the growth of body mass and head circumference in a short period of time and promote growth and development.

[Key words] Premature infants; Early microfeeding; Abdominal massage; Gastrointestinal function; Growth and development

總之，早期微量喂養(yǎng)聯(lián)合腹部按摩用于早產(chǎn)兒不僅能改善胃腸功能，促進(jìn)胃腸蠕動(dòng)，減少喂養(yǎng)不耐受率;而且能加快短期內(nèi)體質(zhì)量和頭圍的增長(zhǎng)，促進(jìn)生長(zhǎng)發(fā)育。

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