关键词: 母乳喂养, 质量改进, 极低出生体重儿, 超低出生体重儿, 并发症

Abstract: Objective To explore the effect of breast-feeding quality improvement measures on the breastfeeding rate of very low birth weight(VLBW) and extremely low birth weight infants(ELBW) infants,so as to provide basis for clinical application. Methods The clinical data of 258 VLBW and ELBW infants admitted to the hospital from May 2016 to December 2017 were retrospectively analyzed According to whether breastfeeding quality improvement measures were implemented,infants were divided into control group(n=100) and improvement group(n=158). The control group received routine breastfeeding,and the improvement group adopted breastfeeding quality improvement measures.The breast-feeding status,maternal breast-feeding rate during hospitalization,feeding quantity,growth index during hospitalization and incidence of total complications were compared between the two groups. Results The first breast-feeding time,the onset time of adding breast milk fortifier,the time for reaching total intestinal feeding and intravenous nutrition in the improvement group were significantly shorter than those in the control group(P<0.05),the maternal breast-feeding rate and the feeding quantity were significantly higher than those growth of the control group,and the weight,length and head circumference of the patients during hospitalization were significantly higher than those of the control group (P<0.05).The incidence of feeding intolerance and total complications in the improvement group were significantly lower than those in the control group(P< 0.05). Conclusion Breast-feeding quality improvement can significantly improve the breast-feeding situation of VLBW and ELBW infants,increase breast-feeding rate and volume,promote the growth of children,and reduce complications.

Key words: breast-feeding, quality improvement, very low birth weight infants, extremely low birth weight infants, complication