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

摘要： 目的 研究母乳喂养质量改进措施对极低和超低出生体重儿母乳喂养率的作用,为临床推广应用提供依据。方法 回顾性分析2016年5月-2017年12月医院收治的258例极低和超低出生体重儿临床资料,根据是否实施母乳喂养质量改进措施将其分为对照组100例和改进组158例,对照组患儿采用常规母乳喂养,改进组患儿实施母乳喂养质量改进措施。比较两组患儿母乳喂养情况,住院期间亲母母乳喂养率、喂养量和患儿住院期间生长指标以及总并发症发生率。结果 改进组患儿首次亲母母乳喂养时间、母乳强化剂开始添加时间、达全肠道喂养时间及静脉营养时间均显著短于对照组患儿(P<0.05),亲母母乳喂养率和喂养量明显高于对照组,患儿住院期间体重、身长和头围增长均明显大于对照组(P＜0.05)。改进组患儿喂养不耐受发生率、总并发症发生率明显低于对照组患儿(P＜0.05)。结论 母乳喂养质量改进能明显改善极低和超低出生体重儿母乳喂养情况,提高母乳喂养率和喂养量,促进患儿生长,并可减少并发症发生。

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