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目的评价非营养性吸吮联合腹部按摩,对促进早产儿胃肠功能发育的效果。方法对同期住院的、基础条件相同的早产儿172例,在基础治疗与护理相同的条件下随机分成两组,对照组采用非营养吸吮,实验组采用非营养性吸吮加腹部按摩。观察记录胎粪排尽时间、睡眠时间、体质量增长速度、完全经口喂养时间。结果对照组91例,实验组81例,两组胎粪排尽时间分别为(6.2±1.9)d和(5.3±1.2)d,P<0.001;完全经口喂养时间分别为(17±5)d和(12±3)d,P<0.001;睡眠时间分别为(16.7±1.6)h/d和(17.8±1.9)h/d,P<0.001;体质量增长速度分别为(14±6)g/d和(17±5)g/d,P>0.01。结论采用非营养性吸吮配合腹部按摩的方法,能促进早产儿胎粪排除,使早产儿尽早完全经口喂养。该方法的采用可能对早产儿胃肠功能发育有促进作用。此法操作简单,经济实用,值得临床推广。
Objective To evaluate the effect of non-nutritive sucking combined with abdominal massage on promoting gastrointestinal function in preterm infants. Methods A total of 172 preterm infants with the same basic conditions under the same conditions were randomly divided into two groups according to the same basic treatment and nursing. The control group received non-nutritional sucking. The experimental group adopted non-nutritive sucking plus abdominal massage. Observation and record meconium exhaust time, sleep time, body mass growth rate, complete oral feeding time. Results The control group (n = 91) and the experimental group (n = 81) had a significantly shorter time of (± 6.2 ± 1.9) d and (± 5.3 ± 1.2) d, P <0.001; d and (12 ± 3) d, P <0.001 respectively; the sleep time was (16.7 ± 1.6) h / d and (17.8 ± 1.9) h / d respectively, P <0.001; the body weight growth rates were (14 ± 6) g / d and (17 ± 5) g / d, P> 0.01. Conclusion The method of non-nutritive sucking with abdominal massage can promote the elimination of meconium in preterm infants and make the premature infants fully fed by mouth as soon as possible. The use of this method may have a beneficial effect on the development of gastrointestinal function in premature infants. This method is simple, economical and practical, it is worth clinical promotion.