Causes of nutritional interruption in premature infants with gestational age of 28 to 34 weeks in Neonatal Intensive Care Unit and its influence on clinical outcomes
10.3760/cma.j.cn115682-20201214-06687
- VernacularTitle:新生儿重症监护室胎龄28～34周早产儿营养中断原因及对临床结局的影响
- Author:
Ying LI
1
;
Jinli GUO
;
Jing ZHANG
;
Zhonghua TIAN
;
Tingting SONG
;
Xiaoyan NING
Author Information
1. 山西省儿童医院（山西省妇幼保健院）护理部，太原 030013
- Keywords:
Infant, premature;
Neonatal intensive care unit;
Nutritional interruption;
Related factors
- From:
Chinese Journal of Modern Nursing
2021;27(22):2997-3000
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the causes of in premature infants with gestational age of 28 to 34 weeks in Neonatal Intensive Care Unit (NICU) , and to observe the influence of interruption of enteral nutrition, parenteral nutrition replacement or abandonment events on the clinical outcome of premature infants.Methods:A retrospective study was used to select 310 premature infants with gestational age of 28 to 34 weeks who were admitted to NICU of Children's Hospital of Shanxi (Women Health Center of Shanxi) and hospitalized for enteral nutrition and parenteral nutrition from January to June 2019. The effect of interruption on the clinical outcomes of premature infants was statistically analyzed.Results:All 310 preterm infants had received more than 24 hours of enteral nutrition support during the NICU. A total of 280 cases (397 times) of enteral nutrition interruption occurred, for a total of 4 367 hours. Among 280 premature infants with interruption of enteral nutrition, the interruption time of enteral nutrition in 123 premature infants was longer than 12 h/d, and the interruption time of enteral nutrition in 157 cases was less than 12 h/d. There were significant differences in time to regain birth weight, duration of ventilator use, average length of hospital stays, incidence of parenteral nutrition replacement or abandonment, and incidence of extrauterine growth retardation among premature infants with different duration of enteral nutrition interruption ( P<0.05) . Conclusions:The nutritional status of premature infants with gestational age of 28 to 34 weeks in NICU is not ideal during hospitalization. Feeding intolerance, iatrogenic manipulation, necrotizing enterocolitis, out-of-care examinations, rescue, and surgery are the main causes of nutritional interruption. Among them, the nutritional interruption time >12 h/d has a greater impact on the clinical outcome of preterm infants. It is recommended that preterm infants need reasonable and standardized enteral nutrition and parenteral nutrition during the NICU, and actively promote breastfeeding of preterm infants to promote the efficiency of enteral nutrition in preterm infants, improve the ability of preterm infants to resist infection, and reduce the occurrence of extrauterine growth retardation Rate, and ultimately achieve the goal of reducing the morbidity and mortality of premature infants.
