非营养性吸吮联合抚触干预早产儿胃管喂养的临床研究

来源 :中国儿童保健杂志 | 被引量 : 0次 | 上传用户:fj123521
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【目的】评价非营养性吸吮联合抚触两种干预方式在早产儿胃管喂养中的临床应用价值。【方法】68例早产适于胎龄儿,生后即给予鼻胃管喂养,随机平均分为两组:干预组和常规喂养组,干预组早产儿在常规喂养的情况下同时给予非营养性吸吮和抚触干预,观察两组早产儿胎便持续时间、生理性体重下降持续天数、胃管留置时间、经口喂养后喂养不耐受的发生率、并发症的发生率、住院天数等指标。【结果】干预组早产儿胎便持续时间、生理性体重下降天数、胃管留置时间、住院天数均短于常规喂养组,差异均有统计学意义(P<0.05);喂养不耐受和并发症的发生率干预组明显低于常规喂养组,差异有统计学意义(P<0.05)。两组早产儿并发症中,高胆红素血症发生率居首位,常规喂养组发生率为44.1%,干预组发生率为14.7%,两组差异具有统计学意义(P<0.05)。两组早产儿在纠正胎龄40周时进行体重、身长、头围的比较,干预组明显优于常规喂养组,差异具有统计学意义(P<0.05)。【结论】非营养性吸吮联合抚触两种干预方式在早产儿喂养中起到良好促进作用。 【Objective】 To evaluate the clinical value of two non-nutritive sucking and touching methods in gastric tube feeding in premature infants. 【Methods】 Sixty-eight preterm premature children were enrolled in this study. After birth, they were given nasogastric tube feeding and randomly divided into two groups: the intervention group and the conventional feeding group. The premature infants in the intervention group were given non-nutritive Sucking and touching interventions were performed to observe the duration of prenatal stool, the number of days of physiological weight loss, the time of gastric tube indwelling, the incidence of feeding intolerance after oral feeding, the incidence of complications and hospital stay. 【Results】 The results showed that the duration of fetal droppings, the number of days of physiological weight loss, the time of gastric tube indwelling and hospital stay in intervention group were shorter than those in routine feeding group (P <0.05). Feeding intolerance and complications The incidence of intervention group was significantly lower than the conventional feeding group, the difference was statistically significant (P <0.05). The incidence of hyperbilirubinemia was the highest among the two groups. The incidence of hyperbilirubinemia was the highest among the two groups. The incidence of hyperbilirubinemia was 44.1% in routine feeding group and 14.7% in intervention group. The difference between the two groups was statistically significant (P <0.05). The weight, length and head circumference of the two groups of premature infants were corrected at gestational age of 40 weeks. The intervention group was significantly better than the conventional feeding group, the difference was statistically significant (P <0.05). 【Conclusion】 Both non-nutritive sucking and touching can play a good role in premature infant feeding.
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