[改善母乳喂养质量对极低出生体重和超低出生体重婴儿母乳喂养率的影响]
[Effect of breastfeeding quality improvement on breastfeeding rate in very low birth weight and extremely low birth weight infants].
作者信息
Liu Feng, Han Shu-Ping, Yu Zhang-Bin, Zhang Jun, Chen Xiao-Hui, Wu Wei-Min, Chu Xue, Liu Bei-Bei
机构信息
Department of Pediatrics, Nanjing Maternity Hospital Affiliated to Nanjing Medical University, Nanjing 210004, China.
出版信息
Zhongguo Dang Dai Er Ke Za Zhi. 2016 Oct;18(10):937-942. doi: 10.7499/j.issn.1008-8830.2016.10.004.
OBJECTIVE
To study the effect of breastfeeding quality improvement on the breastfeeding rate in very low birth weight (VLBW) and extremely low birth weight (ELBW) infants in the neonatal intensive care unit (NICU).
METHODS
A retrospective analysis was performed for the clinical data of VLBW and ELBW infants who were admitted from July 2014 to July 2015 (pre-improvement group) and those who were admitted from August 2015 to June 2016 after the implementation of breastfeeding quality improvement measures (post-improvement group). The parameters including condition of breastfeeding (breastfeeding rate, breastfeeding amount, and breastfeeding time), duration of parenteral nutrition, time to enteral feeding, and incidence of feeding intolerance were compared between the two groups.
RESULTS
The implementation of breastfeeding quality improvement measures significantly increased breastfeeding rate and amount, significantly shortened time to addition of human milk fortifier, duration of parenteral nutrition, and time to enteral feeding, and significantly decreased the incidence of feeding intolerance.
CONCLUSIONS
Breastfeeding quality improvement measures can increase breastfeeding rate in the NICU and decrease gastrointestinal complications in preterm infants.
目的
研究改善母乳喂养质量对新生儿重症监护病房（NICU）中极低出生体重（VLBW）和超低出生体重（ELBW）婴儿母乳喂养率的影响。
方法
对2014年7月至2015年7月收治的VLBW和ELBW婴儿（改善前组）以及2015年8月至2016年6月实施母乳喂养质量改善措施后收治的婴儿（改善后组）的临床资料进行回顾性分析。比较两组之间包括母乳喂养情况（母乳喂养率、喂养量和喂养时间）、肠外营养持续时间、开始肠内喂养时间以及喂养不耐受发生率等参数。
结果
实施母乳喂养质量改善措施显著提高了母乳喂养率和喂养量，显著缩短了添加母乳强化剂的时间、肠外营养持续时间和开始肠内喂养的时间，并显著降低了喂养不耐受的发生率。
结论
母乳喂养质量改善措施可提高NICU中的母乳喂养率，并减少早产儿的胃肠道并发症。
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