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不同干预方法对早产儿经口喂养的效果评价

Evaluation of the effects of different intervention methods on oral feeding performance in preterm infants

  • 摘要: 目的 探讨非营养性吸吮、口腔按摩以及联合使用对早产儿经口喂养的影响,评价联合使用是否优于两者单独使用。方法 120例早产儿随机分为4组,每组30例,非营养性吸吮组在每次鼻饲前吸吮无孔橡皮安慰奶嘴,每次5分钟,8次/天;口腔按摩组在鼻饲喂养前20分钟按摩5分钟,每日1次;联合使用组前述两种方法联合应用;无干预组予早产儿常规治疗护理。比较4组早产儿喂养过渡时间、喂养效率、喂养成效、体重增长、住院时间等指标。结果 非营养性吸吮组、口腔刺激组和联合使用组的喂养过渡时间差异无统计学意义(P>0.05),但均小于无干预组,差异具有统计学意义(P<0.05);首次经口喂养时,3组喂养效率、喂养成效均高于无干预组(P<0.05)。达到完全经口喂养时,仅联合使用组喂养效率、喂养成效高于无干预组(P<0.05)。联合使用组与非营养性吸吮组、口腔按摩组比较,喂养效率、喂养成效差异无统计学意义(P>0.05)。结论 非营养性吸吮、口腔按摩、联合使用均可以促进早产儿经口喂养,缩短喂养进程,提高喂养效率和喂养成效,联合使用的效果更明显。联合使用相比非营养性吸吮、口腔按摩单独使用,并未显示出明显优势。

     

    Abstract: Objective To evaluate the effect of non-nutritive sucking (NNS), oral massage (OM) and combination method (NNS + OM) on oral feeding in preterm infants, to evaluate whether the combination method is superior to separate usage.Methods The preterm infants (n=120) were randomly assigned to four groups (NNS, OM, NNS + OM and non intervention group, n=30/each group). The NNS group received non-nutritive sucking by a pacifier before nasal feeding for 5 minutes each time, 8 times per day. The OM group received stroking of the oral structure 20 minutes before nasal feeding for 5 minutes each time, once per day. The NNS + OM group received both of the above methods. The non intervention group received standard care without oral interventions. The results of feeding transition time, feeding efficiency, feeding effectiveness, weight gain, and hospitalization time of the four groups were compared.Results There was no difference in feeding transition time between the three intervention groups (P> 0.05). Howevere, the feeding transition time was significantly reduced in three intervention groups compared with that in non intervention group (P<0.05). The feeding efficiency and feeding effectiveness of the three intervention groups were higher than that of the non intervention group when initiated oral feeding (P< 0.05). Feeding efficiency and effectiveness in NNS + OM group was only better than that in non-intervention group when complete oral feeding (P< 0.05). Compared with NNS + OM group and oral massage group, feeding efficiency and effectiveness in NNS + OM group were not statistically significant (P> 0.05).Conclusion Non-nutritive sucking, oral massage and the combination method can promote oral feeding in preterm infants, shorten feeding process, improve feeding efficiency.The effect of combination method was more obvious. Compared to non-nutritive sucking and oral massage, the two combination method showed no obvious advantages.

     

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