目的 探讨口腔刺激对早产儿经口喂养的影响。 方法 2012年1~12月收住我科的早产儿115例,随机分成试验组57例和对照组58例。对照组给予体位支持等常规护理,试验组在常规护理的基础上每天给予口腔刺激按摩,观察记录两组早产儿开始经口喂养时间、达到完全经口喂养时间、恢复至出生体重时间及住院天数的情况。 结果 试验组开始经口喂养和达到完全经口喂养的时间均早于对照组(P<0.01),恢复至出生体重时间明显优于对照组(P<0.01),住院天数少于对照组(P<0.01)。 结论 口腔刺激能够促进早产儿经口喂养,使达到完全肠内营养时间缩短,体重增长加快,住院时间缩短。
Objective To evaluate the effect of oral stimulation on oral feeding in premature infants. Methods
Totally 115 premature infants were randomly divided into two groups. The 58 infants in the control group received routine care. In addition,the 57 infants in the experimental group received oral stimulation once a day. The initial time of oral feeding,the time of full oral feeding,the time of body weight regain and the hospital stay were recorded. Results The initial time of oral feeding,the time of full oral feeding,the time of body weight regain and the hospital day in the experimental group were significantly shorter than those of the control group(P<0.01). Conclusion Oral stimulation can promote the oral feeding of premature infants,shorten the time of full oral feeding,accelerate the growth of body weight and shorten the hospital stay.
[1] 彭文涛.早产儿经口喂养准备的临床研究[D].北京:北京协和医学院护理学院,2010.
[2] 彭文涛,王迎,魏珉.新生儿口腔运动评定量表的信效度及反应度研究[J].护理学杂志,2010,25(21):37.
[3] Simpson C,Schanler RJ,Lau C. Early introduction of oral feeding in preterm infant[J].Pediatrics,2002,110(3):517-522.
[4] Arvedson J,Clark H,Lazarus C,et a1.Evidence-based syste?鄄matic review:effects of oral motor interventions on feeding and swallowing in preterm infants[J]. Amer J Speech-Language Pathology,2010,19(4):321-340.
[5] 吕天婵,张玉侠.早产儿口腔运动干预研究现状[J].中华护理杂志,2013,48(1):87.
[6] 陈喻萍,梁丽清,陈丹,等.口腔运动干预对早产儿经口喂养进程的影响[J].广东医学,2013,34(4):652-654.
[7] Anderson GC,Behnke MG,Nancy E,et a1.Self-regulatory ga?鄄vage-to-bottle feeding for preterm infants:effects on behavioral state,energy expenditure,and weight gain[M].New York:Springer,1990:83-97.
[8] 陈喻萍,施晓柯,陈丹.口腔运动干预在早产儿经口喂养中的应用[J].中山大学研究生学刊,2012,33(1):21-28.
[9] Hafstrom M,Kjellmer I.Non-nutritive sucking in the healthy pre-term infant[J].Early Hum Dev,2000,60(1):13-24.
[10] 王丹华.早产儿的营养问题[J].实用儿科临床杂志,2003,18(4):246-249.
[11] 茹喜芳,冯琪,王颖,等.早产儿体重增长的动态评估及其意义[J].中华儿科杂志,2010,48(9):666.