Abstract: 【Abstract】 Objective To investigate the relationship between intermittent kangaroo mother care (KMC)and the rate of exclusively breast feeding for premature infants with a gestational age of 26-33+6 weeks inneonatal intensive care unit (NICU). Method The clinical data of 119 premature infants with a gestationalage of 26-33+6 weeks and their mothers admitted to Department of Neonatology, Peking UniversityInternational Hospital from January 2016 to August 2023 were retrospectively analyzed. According to whetherintermittent KMC was performed or not, they were divided into KMC group (n=60) and routine care group(n=59). The rates of exclusively breast feeding at discharge, corrected gestational age of 40 weeks, correctedage of 4 months, corrected age of 6 months, and the outcome of premature infants were compared betweenthe two groups. Statistical methods performed by t-test, non-parametric test and χ2 test. Result The ratesof exclusively breast feeding was 95.00% (57/60) in the KMC group and 74.58% (44/59) in the routine caregroup at discharge, the difference was statistically significant (t=9.666, P=0.002); 53.33% (32/60) in the group and 30.51% (18/59) in the routine care group at the corrected gestational age of 40 weeks, the differencewas statistically significant (t=6.361, P=0.012); 48.33% (29/60) in the KMC group and 25.42% (15/59) inthe routine care group at the corrected age of 4 months, the difference was statistically significant (t=6.700,P=0.010); 41.67% (25/60) in the KMC group and 20.34% (12/59) in the routine care group at the correctedage of 6 months, the difference was statistically significant (t=6.316, P=0.012). The rates of exclusively breastfeeding of the KMC group were significantly higher than that of the routine care group in each period. Therewas no significant difference between the two groups in the incidence of nosocomial infection (t=0.001,P=0.973), extrauterine growth retardation (EUGR, t=0.425, P=0.515), gestational age (t=-0.500, P=0.617) orweight (t=-0.439, P=0.661) at discharge, feeding intolerance (t=0.067, P=0.795). Conclusion IntermittentKMC promotes exclusively breast feeding rate of premature infants with a gestational age of 26-33+6 weeks within corrected age of 6 months and should be better promoted actively in NICU.
曹丽芳 王慧 付佳慧 张雪峰. 间歇性袋鼠式护理对26~33+6 周早产儿纯母乳喂养的影响[J]. 发育医学电子杂志, 2024, 12(5): 356-361.
Cao Lifang, Wang Hui, Fu Jiahui, et al. Effect of intermittent kangaroo mother care on exclusively breast feeding of premature infants with a gestational age of 26-33+6 weeks. Journal of Developmental Medicine(Electronic Version), 2024, 12(5): 356-361.
2024, Vol. 12 
