摘要
目的探究口腔内外按摩刺激+非营养性吸吮对早产儿喂养效率和完全经口喂养时间的影响。方法将2018年1~12月出生后48h内清远市人民医院新生儿重症监护室收治的60例早产儿纳入常规组,将2019年8月-2021年5月出生后48h内进入本院新生儿重症监护室的60例早产儿纳入联合组,常规组早产儿采用非营养性吸吮进行干预,联合组早产儿在常规组的基础上,联合口腔内外按摩刺激进行干预,回顾性分析两组早产儿经干预后,经口喂养效果,留置胃管时间,喂养不耐受发生率以及住院时长等指标差异。结果联合组早产儿喂养过渡时间、留置胃管时间以及住院时长均显著短于常规组(P<0.05);两组干预后第1~5d与干预前相比,喂养效率明显提升(P<0.05),且联合组早产儿喂养效率高于常规组,差异有统计学意义(P<0.05);联合组早产儿喂养不耐受发生率显著低于常规组(P<0.05)。结论口腔内外按摩刺激联合非营养性吸吮能够提升早产儿经口喂养的效果,缩短胃管留置时间和住院时间,降低喂养不耐受情况发生率。
Objective To investigate the effects of oral and external massage stimulation and non nutritional sucking on feeding efficiency and complete oral feeding time of preterm infants.Methods The clinical data of 60 premature infants who entered the neonatal intensive care unit of our hospital within 48 hours after birth from January 2018 to December 2018 were included as the routine group,and the clinical data of 60 premature infants who entered the neonatal intensive care unit of our hospital within 48 hours from August 2019 to may 2021 were included as the combined group.The premature infants in the routine group were intervened by non nutritional sucking.On the basis of the routine group,preterm infants in the combined group were intervened with oral and external massage stimulation.The differences of intervention,oral feeding effect,indwelling gastric tube time,incidence of feeding intolerance and length of hospital stay between the two groups were analyzed retrospectively.Results The feeding transition time,indwelling gastric tube time and hospitalization time of preterm infants in the combined group were significantly shorter than those in the routine group(P<0.05).The feeding efficiency of preterm infants in the combined group was significantly higher than that in the routine group(P<0.05).The incidence of feeding intolerance in preterm infants in the combined group was significantly lower than that in the routine group(P<0.05).Conclusion Oral and external massage stimulation combined with non nutritional sucking can improve the effect of oral feeding in preterm infants,shorten the retention time of gastric tube and hospital stay,and reduce the incidence of feeding intolerance.
作者
黄雪花
吴文静
黄小舟
曾思琦
HUANG Xuehua;WU Wenjing;HUANG Xiaozhou;ZENG Siqi(Department of Neonatology,Qingyuan People’s Hospital,Qingyuan,Guangdong,511518)
出处
《智慧健康》
2022年第26期201-204,共4页
Smart Healthcare
关键词
口腔按摩
非营养性吸吮
早产儿
经口喂养效率
Oral massage
Non nutritive sucking
Premature infant
Oral feeding efficiency
