母乳及配方奶喂养对NICU早产儿影响分析

发布时间：2018-01-02 10:33

本文关键词：母乳及配方奶喂养对NICU早产儿影响分析　出处：《吉林大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:多角度对比母乳喂养及配方奶喂养对新生儿重症监护室(Neonatal Intensive Care Unit,NICU)早产儿,尤其对小胎龄早产儿的影响,论证母乳喂养对NICU早产儿的重要性。方法:回顾性对照分析,2014年1月1日至2015年12月31日于吉林大学第一医院新生儿科住院治疗且符合入选标准的早产儿639例,其中母乳喂养组237例,配方奶喂养组402例,并按胎龄分组,分别比较母乳和配方奶喂养对NICU早产儿体重增长,实验室指标,喂养不耐受及并发症发生率的影响。结果:1、A胎龄组(28W-30W)母乳组较配方奶组日体重增长快(P=0.005),喂养不耐受率低(P=0.003),NEC发生率低(P=0.034),碱性磷酸酶高(P=0.000),白蛋白低(P=0.032),住院时间、贫血、ROP、BPD、院内感染发生率差异无统计学意义(P0.05)。2、B胎龄组(31W-33W)母乳组较配方奶组日体重增长快(P=0.000),喂养不耐受率低(P=0.001),住院时间短(P=0.036),碱性磷酸酶高(P=0.003),白蛋白、贫血、NEC、ROP、BPD、院内感染发生率差异无统计学意义(P0.05)。3、C胎龄组(34W-36W)各项指标比较均无统计学意义(P0.05)。结论:1、母乳喂养对提高28W-33W NICU早产儿生长速率,降低喂养不耐受率,缩短住院时间,减少NEC发生率有保护作用。2、母乳喂养对小胎龄早产儿(28W-30W)的保护性作用更为明显。
[Abstract]:Objective: to compare the effects of breast-feeding and formula feeding on premature infants in Neonatal Intensive Care Unit (NICU). Especially on the small gestational age of premature infants, to demonstrate the importance of breast-feeding to premature infants with NICU. Methods: retrospective comparative analysis. From January 1st 2014 to December 31st 2015, 639 premature infants were admitted to the first Hospital of Jilin University for pediatric treatment, including 237 cases in breast-feeding group. 402 cases of formula feeding group were divided into two groups according to gestational age. The effects of breast milk feeding and formula feeding on weight gain, laboratory indexes, feeding intolerance and incidence of complications of NICU premature infants were compared respectively. Results: 1. The body weight of breast milk group increased faster than that of formula group, and the rate of feeding intolerance was lower than that of formula group (P 0.003). The incidence of NEC was low (P < 0.034), alkaline phosphatase was high (P = 0.000), albumin was low (P = 0.032). There was no significant difference in the incidence of nosocomial infection. There was no significant difference in the incidence of nosocomial infection. There was no significant difference in the incidence of nosocomial infection. There was no significant difference in the incidence of nosocomial infection. The feeding intolerance rate was low (P < 0.001), the hospitalization time was short (P0.036), alkaline phosphatase (ALP) was high (P < 0.003), Albumin, anemia (NEC-ROP) bpd. There was no significant difference in the incidence of nosocomial infection. There was no significant difference in the incidence of nosocomial infection. Breast feeding can improve the growth rate of 28W-33W NICU premature infants, reduce the rate of feeding intolerance, shorten the hospitalization time, and reduce the incidence of NEC. 2. The protective effect of breast-feeding on premature infants of small gestational age was more obvious than that of young premature infants (28W-30 W).
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R722.6

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