目的：探讨加味四君子汤联合小剂量红霉素治疗早产儿喂养不耐受的疗效。方法：将确诊为早产儿喂养不耐受的78例患儿纳入研究并随机分组，对照组40例采用非营养性吸吮及小剂量红霉素治疗，治疗组38例则联合加味四君子汤。比较临床疗效差异及血清胃动素（M OT ）、胃泌素（GAS）水平改善情况。结果：治疗后，治疗组体质量开始增长的日龄、喂养不耐受持续时间、达到完全胃肠喂养时间及住院时间均更短，生理性体质量下降最高值则更低，P＜0．05；患儿 M OT 、GAS 水平降低，但治疗组改善更显著，P ＜0．05。结论：加味四君子汤联合小剂量红霉素治疗早产儿喂养不耐受效果显著，可更好地改善 M OT 、GAS 水平。%Objective :To observe the curative effect of feeding intolerance in preterm neonates by Sijunzi decoc-tion combined erythromycin .Methods :78 patients were randomized into the research ,patients of the control group(40) with treatment of non nutritional sucking and small dose erythromycin treatment ,the other group combined Sijunzi decoc-tion .To compare the clinical curative effects and the level of gastric dynamic element (motilin ,MOT ) ,the gastrin-relea-sing (gastrin ,GAS) .Results :Body quality growing day age ,duration of feeding intolerance ,achieve full gastrointestinal feeding time and hospital stay of the treatment group were shorter ,the physical body quality drop was lower ,P< 0 .05 ;MOT and GAS level reduced ,but the treatment group improved more significantly ,P < 0 .05 .Conclusion :Treatment group therapy effect is remarkable ,can better improve the MOT and GAS level .
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