早期微量喂养联合腹部按摩对早产儿胃肠功能及生长发育的影响

张红丽 蒋慧玲 高丽娟

[摘要] 目的 探討早期微量喂养联合腹部按摩对早产儿胃肠功能及生长发育的影响。 方法 选取2016年1月～2018年7月在我院住院的早产儿84例，将其随机分为观察组与对照组，每组42例。两组早产儿均予以早期微量喂养，观察组在此基础上采用腹部按摩，两组疗程均为2周。观察并比较两组早产儿胃肠功能及生长发育指标的变化。 结果  观察组早产儿的胎便初排时间和胎便转黄时间明显短于对照组，日排便频率明显高于对照组，喂养不耐受率明显低于对照组（P<0.05）。观察组2周内体质量增长速度和头围增长速度明显大于对照组（P<0.05）。结论 早期微量喂养联合腹部按摩用于早产儿不仅能改善胃肠功能，促进胃肠蠕动，减少喂养不耐受率;而且能加快短期内体质量和头围的增长，促进生长发育。

[关键词] 早产儿;早期微量喂养;腹部按摩;胃肠功能;生长发育

[中图分类号] R473.72          [文献标识码] B          [文章编号] 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

总之，早期微量喂养联合腹部按摩用于早产儿不仅能改善胃肠功能，促进胃肠蠕动，减少喂养不耐受率;而且能加快短期内体质量和头围的增长，促进生长发育。

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