目的：观察自拟中药方穴位敷贴辅助治疗早产儿喂养不耐受的效果，为中药穴位敷贴的临床应用提供科学依据。方法：将符合纳入标准的早产儿随机分为实验组和对照组。实验组和对照组早产儿入院后均进行常规治疗和护理，对不能达到完全胃肠道喂养的早产儿给予静脉营养支持等。实验组喂养不耐受早产儿使用我院自拟中药方(炒莱菔子15 g，焦六神曲10 g，麸炒枳壳15 g，麸炒白术10 g，焦山楂10 g，炒麦芽10 g。)进行穴位敷贴治疗，贴于患儿胃部及中脘穴，每日1次，每次2小时。同时记录患儿生命体征、腹胀、呕吐、胃潴留等症状消失时间、达到全胃肠道喂养时间、住院时间、不良反应等情况，和未使用中药穴位敷贴的对照组早产儿进行数据分析比对，评价中药穴位敷贴辅助治疗早产儿喂养不耐受的效果。结果：实验组平均住院时间、达到全胃肠道喂养时间、恢复至出生体重时间、症状消失时间均明显低于对照组，差异有统计学意义。结论：我院自拟中药方穴位敷贴辅助治疗早产儿喂养不耐受有较好疗效，在早产儿入院时或在早产儿发生喂养不耐受时即应用此项治疗，可以有效地减少早产儿喂养不耐受的发生并缩短喂养不耐受持续的时间，对早产儿的营养支持起到至关重要的作用，从而促进早产儿生长发育，减少生长迟缓的发生，减轻家庭负担，提高早产儿生存质量。
Objective:
To observe the effect of self-designed Chinese medicine acupoint application on
feeding intolerance of premature infants, and to provide scientific basis for
the clinical application of Chinese medicine acupoint application. Methods: The
premature infants who met the inclusion criteria were randomly divided into
experimental group and control group. The preterm infants in the experimental
group and the control group received routine treatment and nursing after
admission, and the preterm infants who could not achieve complete
gastrointestinal feeding were given intravenous nutrition support.
Experimental group feeding intolerance preemies prescriptions in our hospital from (fried radish seed 15 g, focal
medicated leaven 10 g, bran fried hovenia dulcis 15 g, 10 g bran fried atractylodes,
coke hawthorn 10 g, fried malt 10 g), acupoint application was applied to the
stomach and Zhongwan points, once a day, for 2 hours each time. Simultaneously
record vital signs children, abdominal
distension, vomiting, gastric retention, etc, to whole gastrointestinal symptoms disappear time, feeding time,
hospitalization time, adverse reactions, etc., and control patients who
did not use the traditional Chinese medicine acupoint sticking premature for
data analysis, evaluation of Chinese
medicine acupoint sticking auxiliary effect for the treatment of premature
infant feeding intolerance. Results: The average length of hospital stay,
feeding time of whole gastrointestinal tract, recovery time to birth weight and
symptom disappear time in the experimental group were significantly lower than
those in the control group, and the difference was statistically significant.
Conclusion: Prescription in our hospital from acupoint sticking auxiliary
treatment of premature infant feeding intolerance has good curative effect, in
premature babies in hospital or feeding intolerance in preterm infants in the
application of the
