Forgotten in preterm infants respiratory stimulation

Apnea of prematurity in time \"stimulus\"

Mean gestational age less than 37 weeks in preterm infants (less than 260 days) with birth weight less than 2,500 grams, infants in 46 cm in length. According to the information displayed, preterm birth ratio of 6%~8% in China, newborns born 10.48 million a year in Guangdong Province. In the Guangdong Provincial Hospital of Neonatology \"tenants\", accounted for a larger percentage of preterm or low birth weight infants. With the advent of another baby boom in China, huge base leading to premature birth and low birth weight infants increasing.

Premature of was born, makes in preterm infants deficiencies, body the organ development does not mature, Constitution weak, adaptation environment ability difference, therefore, fetal age more small more does not easy survival, \"carefully nursing on in preterm infants is important\", Yang Jie describes, some in preterm infants does not to 28 week on was born has, in hospital to stayed up to 8-9 week, General to to 37 week, weight reached 2.5 kg only can discharged. It is learnt that on nursing care of premature infants are mainly for complications, apart from normal newborn care, preterm infants respiratory, feeding, infection must have at least three passes.

First Commissioner of customs and customs is breathing. Central development of preterm infants respiratory immature, breathing is often irregular or even frequent syndrome or respiratory failure. In addition, the human environment for gas exchange with the outside world is the basic unit of alveolar, alveolar to keep it open without anti depression, that need to be known as alveolar surfactant participation of alveolar surfactant in premature infants less prone to alveolar anti depression, ventilation reduces, breathing difficulties and respiratory failure. Therefore should be in the hospital for treatment of premature infants, endotracheal intubation and injection of alveolar surfactant. \"Premature infants after discharge, parents should pay close attention to the child\'s breathing, as more prone to apnea in preterm infants, so once the premature infants \' forgotten \' breathe, parents to stimulate him in a timely manner, such as elastic-elastic-end of his feet, reminding him breathe. ”

Second is feeding off. After the General Commissioner of customs and third day after breathing in premature infants, is feeding off of the next. Gastrointestinal function in preterm infants is with the development and maturation of fetal age. Therefore, leave earlier the mother in preterm infants, the more immature gastrointestinal function, feeding on the more difficult. Introduction to Yang Jie, normal term infants generally used are milk, that is, according to the formula of proportional allocation of milk, feeding in preterm infants is usually started from diluted milk, increasing concentration, milk is gradually increasing, step by step, to fit their gastrointestinal tract is not mature.

The third Commissioner of customs and customs is infection. Bacterial infection in preterm and low birth weight infants is greater than the risk of full-term healthy newborn. Thin tender skin mucosa in newborns, a bacterial invasion pathways; umbilical for open wounds, bacteria breed and enter the bloodstream; some immunoglobulin can by the mother through the placenta into the fetus, but age-related, lower gestational age, lower the immune globulin and low immunoglobulin levels in premature infants, prone to various infectious diseases, or even sepsis.