早期微量喂養聯合腹部按摩對早產兒胃腸功能及生長發育的影響

張紅麗 蔣慧玲 高麗娟

[摘要] 目的 探討早期微量喂養聯合腹部按摩對早產兒胃腸功能及生長發育的影響。 方法 選取2016年1月～2018年7月在我院住院的早產兒84例，將其隨機分為觀察組與對照組，每組42例。兩組早產兒均予以早期微量喂養，觀察組在此基礎上采用腹部按摩，兩組療程均為2周。觀察并比較兩組早產兒胃腸功能及生長發育指標的變化。 結果? 觀察組早產兒的胎便初排時間和胎便轉黃時間明顯短于對照組，日排便頻率明顯高于對照組，喂養不耐受率明顯低于對照組（P<0.05）。觀察組2周內體質量增長速度和頭圍增長速度明顯大于對照組（P<0.05）。結論 早期微量喂養聯合腹部按摩用于早產兒不僅能改善胃腸功能，促進胃腸蠕動，減少喂養不耐受率;而且能加快短期內體質量和頭圍的增長，促進生長發育。

[關鍵詞] 早產兒;早期微量喂養;腹部按摩;胃腸功能;生長發育

[中圖分類號] R473.72? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 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，早期微量喂養聯合腹部按摩用于早產兒不僅能改善胃腸功能，促進胃腸蠕動，減少喂養不耐受率;而且能加快短期內體質量和頭圍的增長，促進生長發育。

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