摘要
[目的]探讨口腔运动干预联合面部特定穴位刺激对改善新生儿经口喂养困难的影响。[方法]将新生儿重症监护室(Neonatal Intensive Care Unit,NICU)380例存在经口喂养困难的新生儿纳入研究对象,采用随机数字表法分为A组和B组各190例,A组(干预组):口腔运动干预联合面部特定穴位刺激。B组(对照组):仅进行非营养性吸吮(non-nutritive sucking,NNS)。观察并记录两组新生儿出生体重、出生胎龄、经口喂养过渡时间、完全经口喂养天数、住院天数、完全经口喂养时纠正胎龄、出院时纠正胎龄、住院时体重增长情况。对早产儿经口喂养困难进行早期干预组(C组)与晚期干预组(D组)对比,观察两组结果差异。[结果] A组在经口喂养过渡时间、完全经口喂养天数、住院天数、完全经口喂养时纠正胎龄少于B组,差异具有统计学意义(P<0.05)。A组与B组对比,新生儿在入科体重、出生胎龄、达出院时纠正胎龄、住院期间体重增长差异无统计学意义(P>0.05)。早产儿中把干预时纠正胎龄<35周为早期干预组(C组),干预时纠正胎龄≥35周为晚期干预组(D组)。C组在出生胎龄、管饲喂养天数、经口喂养过渡时间、住院天数及住院期间体重增长均少于D组,差异具有统计学意义(P<0.05)。其中,完全经口喂养时纠正胎龄和达出院时纠正胎龄差别更明显(P<0.001)。C组与D组在入科体重和机械通气时间上差异没有统计学意义(P>0.05)。[结论]口腔运动干预联合面部特定穴位刺激较非营养性吸吮在提高新生儿经口喂养困难方面具有明显优势,可明显缩短新生儿尤其是早产儿住院时间,减少住院费用,其中早期干预比晚期干预效果更好。
[Objective] To introduce an oral motor intervention and compare the effect on improving the oral feeding of neonates.[Methods] Ramdomly select 380 neonates with oral feeding problem in Neonatal Intensive Care Unit(NICU) into two groups.A group is intervention group: Give oral motor intervention and special facial acupoint on stimulation.B group is control group: Just give non-nutritive sucking(NNS).To observe the difference in weight when in hospital,gestational age,transition time to total oral feeding,days of completing oral feeding,hospital stays,corrected gestational age when completing oral feeding,corrected gestational age when hospital discharge and weight gain in hospital.Group premature babies into early intervention group(group C) and late intervention group(group D),analyzing the difference between two groups.[Result] Transition time to total oral feeding,days of complete oral feeding,hospital stays and corrected gestational age when completing oral feeding in group A were less than group B,showing statistically significant difference(P <0.05).Compared group A with group B,showing no statistically significant difference in bireth weight,gestational age,correct gestational age when hospital discharge and weight gain in hospital(P >0.05).In this study,oral feeding intervention between premature babies before correct gestational age of 35 weeks named group C,otherwise named group D.Gestational age,days of tube feeding,transition time to total oral feeding,hospital stays and weight gain in hospital in group C were less than group D,showing statistically significant difference( P <0.05).Especially obvious difference between corrected gestational age when completing oral feeding and corrected gestational age at hospital discharge( P<0.01).Compared group C with group D,showing no statistically significant difference in weight when in hospital and mechanical ventilation time( P>0.05).[Conclusion] Oral motor intervention and special facial acupoint on stimulation showing significant advantage than non-nutritive sucking in improving oral feeding,shorter hospitalization time(especially in premature infants)and less hospitalization cost.Early intervention is more effective than late intervention.
作者
王建平
周迎春
潘迎洁
鲁萍
WANG Jianping;ZHOU Yinchun;PAN Yinjie(Second Hospital Affiliated to Wenzhou Medical University,Zhejiang 325000)
出处
《浙江中医药大学学报》
CAS
2019年第4期305-310,共6页
Journal of Zhejiang Chinese Medical University
基金
温州市科技局课题(Y20160176)~~
关键词
面部特定穴位刺激
口腔运动干预
新生儿
经口喂养困难
早期干预
special facial acupoint on stimulation
oral motor intervention
neonate
oral feeding problem
early intervention
