初乳口腔免疫护理对极低出生体质量儿生长发育的影响

Effects of colostrum oral immunological nursingon the growth and development of very low birth weight infants

  • 摘要:
      目的  探讨初乳口腔免疫护理对极低出生体质量儿(VLBW)生长发育的影响。
      方法  选取69例VLBW作为研究对象,随机分为治疗组34例和对照组35例。对照组给予常规护理,治疗组在生后1周内给予初乳口腔免疫疗法相关护理。
      结果  治疗组达到全肠道内喂养时间短于对照组,每周体质量增加量高于对照组,且治疗组恢复出生体质量日龄早于对照组,差异有统计学意义(P < 0.05)。治疗组宫外生长发育迟滞发生率为44.11%,低于对照组的68.57%,差异有统计学意义(P < 0.05);治疗组坏死性小肠结肠炎(NEC)、败血症及支气管发育不良的发生率均低于对照组,差异均有统计学意义(P < 0.05)。
      结论  初乳口腔免疫护理能有效缩短VLBW达到全肠内营养时间,降低NEC、败血症及宫外生长发育迟滞发生率,并加快VLBW的体质量增长速率。

     

    Abstract:
      Objective  To investigate the effect of colostrum oral immunological nursing on the growth and development of very low birth weight infants (VLBW).
      Methods  Sixty-nine cases of VLBW were selected as the research objects, and randomly divided into treatment group (n=34) and control group (n=35). The control group was given routine nursing, and the treatment group was given colostrum oral immunotherapy related nursing within one week after birth.
      Results  The duration of total intestinal feeding in the treatment group was significantly shorter, the body weight gain per week was significantly higher, and the body weight day of birth was significantly earlier than that in the control group (P < 0.05). The incidence of extrauterine growth restriction in the treatment group was 44.11%, which was significantly lower than 68.57% in the control group (P < 0.05). The incidence rates of necrotizing enterocolitis (NEC), sepsis and bronchial dysplasia in the treatment group were significantly lower than those in the control group (P < 0.05).
      Conclusion  Colostrum oral immunity nursing can effectively shorten the time for VLBW to reach total enteral nutrition, reduce the incidence of NEC, sepsis and extrauterine growth restriction, and accelerate the growth rate of VLBW.

     

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