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目的探讨危重足月儿早期胃肠喂养方式与胃肠损伤发生的关系。方法选择2004年1月-2007年6月在儿科住院的86例危重足月儿随机分为微量喂养组和按需喂养组两组,观察比较两种不同喂养方式下危重足月儿胃肠损害的情况。结果①微量喂养组患儿胃肠损伤发生率明显低于按需喂养组患儿(P<0.05)。②生后24h患儿胃肠损害发生率明显高于生后24～48h胃肠损害发生率(P<0.05)。③极危重组患儿胃肠损害发生率明显高于危重组患儿(P<0.05)。结论危重足月儿出生后不宜过早按需喂养,生后24h内尤应慎重,提倡出生后6h给予稀释成1∶1配方奶开始,微量喂养,辅以非营养性吸吮,缓慢增加喂奶量,生后48～72h逐渐过渡至全奶,减少胃肠损伤的发生。
Objective To investigate the relationship between early term gastrointestinal feeding in critically ill term children and gastrointestinal injury. Methods 86 cases of critical term infants hospitalized in pediatrics from January 2004 to June 2007 were randomly divided into two groups: the micronutrient group and the on-demand group. The effects of two types of feeding on the gastrointestinal damage in term infants Case. Results ① The incidence of gastrointestinal injury in the micronutrient group was significantly lower than that in the on-demand group (P <0.05). ② The incidence of gastrointestinal damage in children after birth was significantly higher than that in children after 24-48 hours (P <0.05). ③ The incidence of gastrointestinal damage in critically ill children was significantly higher than that in critically ill children (P <0.05). Conclusion The full-term babies should not be fed on-demand prematurely after birth, and should be cautious during the first 24 hours after birth. The 6-h dilution should be followed by the start of dilution into 1: 1 formula, micronutrient supplementation and non-nutritive sucking, , 48 ~ 72h after birth gradually transition to whole milk, reduce the occurrence of gastrointestinal injury.