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目的:探讨早产儿早期开始经十二指肠管饲与传统管饲喂养早产儿的耐受情况及对早产儿营养情况的影响。方法:共32例早产儿,胎龄30～33周,随机分为经十二指肠组(观察组)18例,传统管饲组(对照组)14例,均在出生后12h开始管饲母乳,管饲过程中观察腹胀、呕吐、呼吸暂停等发生次数。分别于生后6、12天抽血测定营养指标。结果:观察组2例出现一过性呕吐、腹泻;对照组10例均有不同程度腹胀、呕吐、误吸及呼吸暂停。体重下降幅度两组相似,12天时体重平均增加,观察组为104g,对照组59g,两组血营养学指标差异无统计学意义。结论:早产儿早期经十二指肠喂养是较合理有效的喂养方法。
Objective: To investigate the tolerance of premature infants fed duodenal tube feeding and traditional tube feeding in the early stage of premature infants and the effect on the nutritional status of premature infants. Methods: A total of 32 preterm infants with gestational age ranging from 30 to 33 weeks were randomly divided into two groups: the duodenum group (observation group), 18 cases and the control group (14 cases) Breast milk, tube feeding observed bloating, vomiting, apnea and other occurrences. 6,12 days after birth, respectively, blood test for nutritional indicators. Results: Two patients in the observation group had transient vomiting and diarrhea. In the control group, all 10 patients had bloating, vomiting, aspiration and apnea in varying degrees. Body weight loss similar to the two groups, 12 days, an average increase in body weight, the observation group was 104g, 59g in the control group, the two groups had no significant difference in blood nutrition indicators. Conclusion: Early duodenal feeding of premature infants is a reasonable and effective feeding method.