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| Predictive Intervention in Preventing Aspiration of Enteral Nutrition in Critical Newborns |
| ZHENG Dong-mei, FAN Yun-yun |
| Suining Municipal Hospital of TCM, Si-Chuan Province, Suining 629000 China |
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Abstract 【Objective】To investigate the effect of preventive intervention on the prevention of enteral nutrition aspiration in critical newborns.【Methods】A total of 102 cases of critical newborns who received enteral nutrition in the neonatal department of our hospital from February 2014 to February 2016 were selected as the research subjects. They were divided into the observation group and the control group according to the random number table method, with 51 cases in each group. The newborns in the control group were given routine nursing for critical ill children, and the newborns in the observation group were given preventive intervention based on the risk assessment of aspiration. The aspiration rate, mortality rate, survival rate, complications, hospitalization time and hospitalization cost were compared between the two groups.【Results】The aspiration rate and mortality rate in the observation group were significantly lower than those in the control group, and the survival rate of the observation group was significantly higher than that of the control group. The incidence of complications such as vomiting was significantly lower than that of the control group (P<0.05). Days of hospitalization in the neonatal intensive care unit (NICU) and total length of hospital stay in the observation group were significantly shorter than those in the control group. Therefore, NICU hospitalization expenses and total hospitalization costs were significantly lower than those in the control group (P<0.05).【Conclusion】The preventive intervention based on aspiration risk assessment can help to reduce the aspiration rate, mortality and complications of enteral nutrition in critical newborns, shorten the hospital stays and cut the hospitalization expenses.
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Received: 24 May 2017
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[1] Parker L,Torrazza RM,Li Y,et al.Aspiration and evaluation of gastric residuals in the neonatal intensive care unit:state of the science[J].J Perinat Neonatal Nurs,2015,29(1):51-59.
[2] 段颖杰.机械通气患儿肠内营养时误吸的预防及护理进展[J].中华现代护理杂志,2014,20(14):1745-1747.
[3] Hallal C,Chaves VS,Borges GC,et al.Acid and weakly acidic gastroesophageal reflux and pepsin isoforms (A and C) in tracheal secretions of critically Ⅲ children [J].Chest,2015,148(2):333-339.
[4] 周雪莲,赵正言,沈明,等.肠内营养粉剂(AA-PKU1)对0-1岁苯酮尿症患儿治疗的有效性和安全性[J].中华实用儿科临床杂志,2014,29(20):1539-1542.
[5] 吕改玲,吴春芳,张瑞.肠内营养的危重新生儿误吸的早期干预[J].中华全科医学,2011,9(5):816-817.
[6] 于丽琴,刘红霞.护理专案在改进老年科护士误吸风险评估工作中的应用[J].全科护理,2016,14(31):3311-3313.
[7] 李广玉,陈晖,张洁.鼻肠管在危重患儿营养支持中的应用及护理[J].中日友好医院学报,2011(05):318-319.
[8] Gunn CA,Dickson JL,Hewett JN,et al.Nasogastric aspiration as an indicator for feed absorption in model-based glycemic control in neonatal intensive care [J].J Daibetes Sci Technol,2013,7(3):717-726.
[9] 黄剑飞.肠内营养的危重新生儿发生误吸的早期干预[J].中国医药导刊,2013,15(1):59-60.
[10] Flax-Goldenberg R,Kulkarni KS,Carson KA,et al.Concordance between aspiration detected on upper gastrointestinal series and videofluoroscopic swallow study in bottle-fed children[J].Dysphagia,2016 ,31(4):505-510. |
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2018, Vol. 35 
