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早期微量喂养对肺透明膜病新生儿体重和血胆红素的影响研究
作者：郑旭新杨烁黄丽丽梁国祝
来源：《中国实用医药》2017年第01期
【摘要】目的探索早期微量喂养对于肺透明膜病新生儿体重和血胆红素的影响。方法 80例肺透明膜病新生儿，根据喂养方法的不同分为观察组和对照组，每组40例。对照组采用常规喂养，观察组采用早期微量喂养，比较分析两组出生体重恢复时间、血胆红素水平、胃肠道功能、并发症发生率。结果观察组出生7 d的胃泌素水平、血浆胃动素水平及达全量肠道喂养时间分别为（132.7±23.1）ng/L、
（365.0±32.1）ng/L、（14.87±2.32）d，优于对照组的（110.3±20.5）ng/L、
（321.6±28.6）ng/L、（18.59±3.21）d，差异有统计学意义（P0.05）。观察组出生体重恢复时间、住院时间及血胆红素峰值分别为（11.27±2.36）d、（16.58±4.32）d、（237.4±43.2）
μmol/L，优于对照组的（14.38±2.76）d、（20.27±4.19）d、（275.8±52.1）μmol/L，差异有统计学意义（P
【关键词】早期微量喂养；肺透明膜病；新生儿；体重；血胆红素；并发症；胃肠道功
能
DOI：10.14163/https://www.doczj.com/doc/2b5046845.html,ki.11-5547/r.2017.01.092
Research on effect of early minimal feeding on body weight and hemobilirubin for newborns with hyaline membrane disease ZHENG Xu-xin， YANG Shuo， HUANG Li-li， et al. Department of Pediatrics，Shenzhen City Pingshan New District People’s Hospital， Shenzhen 518118， China
【Abstract】 Objective To explore effect of early minimal feeding on body weight and hemobilirubin for newborns with hyaline membrane disease. Methods A total of 80 newborns with hyaline membrane disease were divided by different feeding methods into observation group and control group， with 40 cases in each group. The control group received conventional feeding， and the observation group received early minimal feeding. Comparison and analysis were made on birth weight recovery time， hemobilirubin level， gastroenteric function and incidence of complications in two groups. Results The observation group had gastrin level， plasma motilin level on postnatal 7 d
and full amount of enteral feeding time respectively as （132.7±23.1）ng/L，（365.0±32.1）ng/L and（14.87±2.32）d，
which were all better than （110.3±20.5）ng/L，（321.6±28.6）ng/L and （18.59±3.21）d in the control group， and their differences had statistical significance （P0.05）. The observation