摘要
目的探讨母乳喂养质量改进项目对提高早产儿新鲜母乳喂养率的临床效果。方法选取2018年7—12月我院收治的65例胎龄<32周的早产儿为对照组,母乳喂养质量改进项目实施前,选取2019年1—6月我院收治的68例胎龄<32周的早产儿为试验组,实施母乳喂养质量改进项目,统计两组新鲜母乳和母乳喂养率与新鲜母乳和母乳日均喂养次数,新鲜母乳合格率,2周母乳日均喂养量,并对两组早产儿出院时身长、头围、体重、恢复出生体重时间进行综合评价。结果试验组患儿的新鲜母乳喂养率、新鲜母乳日均喂养次数和新鲜母乳合格率均高于对照组,差异有统计学意义(P均<0.05)。试验组母乳喂养率高于对照组,母乳日均喂养次数高于对照组,2周母乳日均喂养量高于对照组,差异均有统计学意义(P均<0.05)。生长指标测量显示,试验组早产儿出院头围明显大于对照组,恢复出生体重时间也明显早于对照组,差异有统计学意义(P<0.05),但两组早产儿出院身长、出院体重比较差异无统计学意义(P>0.05)。结论母乳喂养质量改进项目的开展,有效提高了我科早产儿新鲜母乳及母乳的喂养率、新鲜母乳和母乳日均喂养次数、新鲜母乳合格率,母乳日均喂养量,改善早产儿的生长指标,实践有效可行,值得临床推广。
Objective To investigate the clinical efficacy of breastfeeding quality improvement project on improving the fresh breast milk feeding rate of premature infants.Methods Premature infants with gestational age less than 32 weeks admitted to and treated in our hospital from July to December 2018 were selected as the control group(n=65).And before the implementation of breastfeeding quality improvement project,premature infants with gestational age less than 32 weeks admitted t o and treated in our hospital from January to June 2019 were se lected as the experimental group(n=68).The fresh breast milk and breastfeeding rate,the average daily feeding frequency of fresh breast milk and breast milk,the qualified rate of fresh breast milk and the average daily feeding volume of breast milk during 2 weeks of the two groups were counted.The length,head circumference,weight,time to regain birth weight of prem ature infants in both groups were comprehensively evaluated.Results The fresh breastfeeding rate,the average daily feeding frequency of fresh breast milk and the qualified rate of fresh breast milk in children of the experimental group were all higher than those in the control group,with statistically significant differences(all P<0.05).The breastfeeding rate,the average daily feeding frequency and the average daily feeding volume of breast milk during 2 weeks in the experimental group were higher than those in the control group,with statistically significant differences(all P<0.05).The measurement of growth indices showed that the head circumference of premature infants in the experimental group was significantly longer than that in the control group,and the time to regain birth weight was significantly earlier than that in the control group,with statistically significant differences(P<0.05).However,there were no statistically significant differences in the discharge length and weight of premature infants between the two groups(P>0.05).Conclusion The implementation of breastfeeding quality improvement project has effectively improved the fresh breast milk and breastfeeding rate,the average daily feeding frequency of fresh breast milk and breast milk,the qualified rate of fresh breast milk and the average daily feeding volume of breast milk for premature infants in our department.It is effective and feasible to improve the growth indices of premature infants,which is worthy of clinical promotion.
作者
郭玉珍
赵晓燕
邱宇灵
练素斌
GUO Yuzhen;ZHAO Xiaoyan;QIU Yuling;LIAN Subin(Department of Neonatology,Maternal and Child Health Hospital of Xiamen City,Fujian,Xiamen 361000,China)
出处
《中国医药科学》
2021年第14期92-95,130,共5页
China Medicine And Pharmacy
关键词
早产儿
新鲜母乳
母乳喂养
质量改进
喂养率
Premature infants
Fresh breast milk
Breastfeeding
Quality im provement
Feeding rate
