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目的:探讨小剂量红霉素口服联合暖箱遮光治疗早产儿喂养不耐受的疗效。方法:100例诊断为早产儿喂养不耐受的早产儿随机分为对照组和实验组各50例,均采用口饲管喂养,均给予常规治疗。实验组在常规治疗基础上应用小剂量红霉素口服8 mg.kg-1.d-1,12 h 1次,疗程5～7天,同时配合暖箱遮光(暖箱外壁罩上深色布罩)。结果:治疗后两组在胃残留量(每次喂奶前)、腹胀消失、恢复出生体重、喂养耐受、达到经完全经胃肠喂养时间比较差异有统计学意义(P<0.01)。结论:应用小剂量红霉素口服联合暖箱遮光治疗早产儿喂养不耐受可加速胃排空,促进肠蠕动,治疗早产儿喂养不耐受疗效显著。
Objective: To investigate the effect of low-dose erythromycin orally combined with incubator opacification in the treatment of premature infant feeding intolerance. Methods: One hundred cases of preterm infants diagnosed as preterm infants intolerant were randomly divided into control group and experimental group of 50 cases, all of which were fed with oral feeding tube and were given routine treatment. The experimental group on the basis of conventional treatment with a small dose of erythromycin oral administration of 8 mg.kg-1.d-1, 12 h 1, the treatment of 5 to 7 days, at the same time with the warm shade (warm outer wall cover dark cloth cover). Results: After treatment, the residual gastric volume (before each feeding), abdominal distension disappeared, the birth weight and feeding tolerance were restored, and the difference was statistically significant (P <0.01). Conclusion: Oral administration of low dose erythromycin combined with ophthalmoscope ophthalmoscopy in the treatment of premature infant feeding intolerance can accelerate gastric emptying, promote peristalsis, and treat premature infants intolerant.