低出生体重儿的早期出院
Early discharge of low birthweight infants.
作者信息
Lefebvre F, Veilleux A, Bard H
出版信息
Arch Dis Child. 1982 Jul;57(7):511-3. doi: 10.1136/adc.57.7.511.
A study was conducted to see if the discharge weight of preterm infants born at less than or equal to 2000 g could safely be reduced. A study group (21 infants) was discharged 'early' at a mean weight of 2010 g (1890-2190) provided there were no medical problems, weight gain was adequate, temperature control in room air was stable, all feedings were by breast, and the mother was ready to have the baby home. A control group (17 infants) was discharged at a mean weight of 2261 g (2200-2400). The duration of time in hospital for the 'early' group was shortened by 11.6 days. At expected date of delivery the weight of infants in each group was similar (3095 +/- 403 compared with 3146 +/- 453 g); length, head circumference, and haemoglobin concentration in each group were similar too. There was no morbidity or mortality in either group. Early discharge did not affect mothering confidence. This study shows that low birthweight infants can be discharged early (at 2000 +/- 100 g) provided appropriate criteria are met, home conditions are adequate, and follow-up is available.
开展了一项研究，以确定出生体重小于或等于2000克的早产儿出院时体重能否安全降低。设立了一个研究组（21名婴儿），若没有医疗问题、体重增加充足、在室内空气中体温控制稳定、全部采用母乳喂养且母亲准备好让婴儿回家，则该组婴儿在平均体重2010克（1890 - 2190克）时“提前”出院。一个对照组（17名婴儿）平均体重2261克（2200 - 2400克）时出院。“提前”出院组的住院时间缩短了11.6天。到预产期时，每组婴儿的体重相似（分别为3095±403克和3146±453克）；每组婴儿的身长、头围和血红蛋白浓度也相似。两组均无发病或死亡情况。提前出院并未影响母亲的育儿信心。这项研究表明，只要符合适当标准、家庭条件适宜且有随访安排，低出生体重婴儿可以提前（体重2000±100克时）出院。
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