早产儿经胃管喂养后采用空气冲管的应用评价

doi:10.3969/j.issn.1000-8535.2024.09.012

摘要/Abstract

摘要： 目的评价早产儿经胃管喂养后采用空气冲管的应用效果。方法选择2021年1月–2021年12月广州市第一人民医院收治的经胃管喂养后采用温水冲管的60例早产儿为对照组,选择2022年1月–2022年12月收治的经胃管喂养后采用空气冲管的57例早产儿为研究组。喂养1周后,比较两组患儿体质量增加量、血清白蛋白浓度增加量、大便量、喂养不耐受发生率、胃管堵塞率等指标的差异。结果无患儿发生胃管堵塞。研究组的血清白蛋白浓度增加量[（2.86±5.61）g/L]高于对照组[（0.84±5.27）g/L]（P<0.05）,而两组患儿在体质量增加量、大便量、喂养不耐受发生率等方面比较差异无统计学意义（P>0.05）。多元线性回归分析结果显示空气冲管为血清白蛋白浓度增加量的影响因素（P<0.05）。结论采用空气进行胃管冲管的方法可改善早产儿的营养状态。

关键词: 早产儿, 胃管, 冲管方式, 营养状态

Abstract: Objective To evaluate the effects of flushing gastric tube by air after feeding in premature infants．Methods A total of 60 premature infants admitted to Guangzhou First People's Hospital from January 2021 to December 2021 whose gastric tube were flushed with water after feeding were selected as the control group,while 57 admitted from January 2022 to December 2022 whose gastric tube were flushed with air after feeding were selected as the study group．After 1 week of feeding,the differences of weight increase,serum albumin concentration increase,stool volume,feeding intolerance incidence and gastric tube blockage rate were compared between the 2 groups．Results No gastric tube blockage occurred．The increase of serum albumin concentration in the study group[（2.86±5.61）g/L] was significantly higher than that in the control group[（0.84±5.27）g/L]（P<0.05）,but there were no significant differences in weight increase,stool volume and feeding intolerance incidence between the 2 groups．Multiple linear regression analysis showed that the flushing gastric tube with air was an independent influencing factor for the increase of serum albumin（P<0.05）．Conclusions Flushing gastric tube with air can improve the nutritional status of premature infants,which is worthy of clinical application．

Key words: premature infant, gastric tube, flushing method, nutritional status

王琦, 陈绿帆, 龙小红, 王丽娜, 欧巧群. 早产儿经胃管喂养后采用空气冲管的应用评价[J]. 广州医药, 2024, 55(9): 1038-1042.

WANG Qi, CHEN Lvfan, LONG Xiaohong, WANG Lina, OU Qiaoqun. Evaluation of flushing gastric tube by air after feeding in premature infants[J]. Guangzhou Medical Journal, 2024, 55(9): 1038-1042.

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