口腔运动干预对早产儿出院后母乳喂养的影响
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摘要
目的探讨早产儿出院后应用口腔运动干预对母乳喂养的影响。方法将2017年2月～2018年5月期间出生后24h内入住我院NICU的早产儿82例作为研究对象,采用随机抽样法分为对照组(非营养性吸吮)和观察组(口腔运动干预),每组患者41例。比较两组的母乳喂养影响情况、吸吮能力。结果观察组的全亲喂率(56.10%)、纯母乳喂养率(69.29%)以及每分钟吸吮脉冲平均数目(1.43±0.18)个/min、吸吮脉冲平均持续时间(6.73±3.03)s均显著高于对照组的全亲喂率(56.10%)、纯母乳喂养率(69.29%)以及每分钟吸吮脉冲平均数目(2.94±0.11)个/min、吸吮脉冲平均持续时间(12.04±3.16)s;观察组的吸吮间隔平均持续时间(15.20±1.29)s显著低于对照组的吸吮间隔平均持续时间(26.72±1.62)s,差异有统计学意义(P <0.05)。两组干预前体重差异不明显,干预后观察组显著高于对照组,差异有统计学意义(P <0.05)。结论应用口腔运动干预能够有效改善早产儿吸吮能力,提高早产儿出院后母乳喂养率。
Objective To explore the effect of oral motor intervention on breastfeeding of premature infants after discharge. Methods Eighty-two premature infants who were admitted to the NICU of our hospital within 24 hours after birth from February 2017 to May 2018 were selected as research objects.According to random sampling method,they were divided into the control group(non-nutritive sucking)and the observation group(non-nutritive sucking),with 41 cases in each group.The effects of breastfeeding and sucking ability were compared between the two groups. Results The whole-parent feeding rate(56.10%),rate of pure breast-feeding(69.29%),the average number of sucking pulses per minute(1.43±0.18)pieces/min,average duration of sucking pulses(6.73±3.03)s in the observation group were significantly higher than 56.10%,69.29%,(2.94±0.11)pieces/min and(12.04±3.16)s in the control group.The mean interval duration of sucking in the observation group was(15.20±1.29)s,significantly lower than(26.72±1.62)s in the control group.The difference was statistically significant(P < 0.05).There was no significant difference in body weight between the two groups before intervention.After intervention,body weight of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P < 0.05).Conclusion Oral motor intervention can effectively improve the sucking ability of premature infants and improve the breastfeeding rate of premature infants after discharge.
Objective To explore the effect of oral motor intervention on breastfeeding of premature infants after discharge. Methods Eighty-two premature infants who were admitted to the NICU of our hospital within 24 hours after birth from February 2017 to May 2018 were selected as research objects.According to random sampling method,they were divided into the control group(non-nutritive sucking)and the observation group(non-nutritive sucking),with 41 cases in each group.The effects of breastfeeding and sucking ability were compared between the two groups. Results The whole-parent feeding rate(56.10%),rate of pure breast-feeding(69.29%),the average number of sucking pulses per minute(1.43±0.18)pieces/min,average duration of sucking pulses(6.73±3.03)s in the observation group were significantly higher than 56.10%,69.29%,(2.94±0.11)pieces/min and(12.04±3.16)s in the control group.The mean interval duration of sucking in the observation group was(15.20±1.29)s,significantly lower than(26.72±1.62)s in the control group.The difference was statistically significant(P < 0.05).There was no significant difference in body weight between the two groups before intervention.After intervention,body weight of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P < 0.05).Conclusion Oral motor intervention can effectively improve the sucking ability of premature infants and improve the breastfeeding rate of premature infants after discharge.
引文
[1]李琳琳,张胜男,孙静.早产儿口腔运动干预方法研究进展[J].护理学报,2014,21(6):38-41.
[2]Lv Tianchan,Zhang Yuxia,Hu Xiaojing,et al.Evaluation of early oral exercise intervention to improve the effect of oral feeding in preterm infants[J].Chinese Nursing Journal,2013,48(2):101-105.
[3]Chen Yuping,Shi Xiaoke,Chen Dan,et al.Effect of oral exercise intervention on oral feeding process of premature infants[J].Guangdong Medicine,2013,34(4):652-654.
[5]余晓娟,李琛,王昌燕,等.经口喂养困难早产儿的早期综合干预[J].护理学杂志,2013,28(13):44-46.
[6]林明晓.口腔运动干预对早产儿经口喂养护理效果的影响研究[J].中国伤残医学,2015,23(14):41-42.
[7]T i a n X,Y i L J,Z h a n g L,e t a l.O r a l M o t o r InterventionImproved the Oral Feeding in Preterm Infants:EvidenceBased on a Meta-Analysis With Trial Sequential Analysis[J].Medicine(Baltimore),2015,94(31):e1310.
[8]李凡.早期口腔运动干预方案改善早产儿经口喂养的效果评价[J].世界最新医学信息文摘,2016,16(11):42-43.
[9]杨素勉,桑文淑,刘敬芳,等.乳房刺激结合食疗对早产儿母乳喂养及母婴健康的影响[J].中国妇幼保健,2016,31(16):3273-3275.
[10]Zhang Y,Lyu T,Hu X,et al.Effect of nonnutritive sucking and oral stimulation on feeding performance inpreterm infants:a randomized controlled trial[J].Pediatr Crit Care Med,2014,15(7):608-614.
[11]万丽,徐芮,叶贞志.住院早产儿母乳喂养对早产儿近期转归的影响[J].国际医药卫生导报,2016,22(23):3708-3709.
[12]李琳琳,陈京立,崔国凤.口腔运动干预对早产儿出院后母乳喂养的影响[J].护士进修杂志,2016,31(14):1266-1269.
[13]郑锦霞,王勤,赵敏慧,等.闭环式管理模式对提高住院早产儿母乳喂养率效果研究[J].护理学报,2016,23(5):32-34.
[14]吕天婵,张玉侠,胡晓静,等.早期联合使用方案改善早产儿经口喂养的效果评价[J].中华护理杂志,2013,48(2):101-105.
[15]Bala P,Kaur R,Mukhopadhyay K,et al.Oromotor Stimulation for Transition from Gavage to Full Oral Feed-ing in Preterm Neonates:A Randomized controlled trial[J].Indian Pediatr,2016,53(1):36-38.
[2]Lv Tianchan,Zhang Yuxia,Hu Xiaojing,et al.Evaluation of early oral exercise intervention to improve the effect of oral feeding in preterm infants[J].Chinese Nursing Journal,2013,48(2):101-105.
[3]Chen Yuping,Shi Xiaoke,Chen Dan,et al.Effect of oral exercise intervention on oral feeding process of premature infants[J].Guangdong Medicine,2013,34(4):652-654.
[5]余晓娟,李琛,王昌燕,等.经口喂养困难早产儿的早期综合干预[J].护理学杂志,2013,28(13):44-46.
[6]林明晓.口腔运动干预对早产儿经口喂养护理效果的影响研究[J].中国伤残医学,2015,23(14):41-42.
[7]T i a n X,Y i L J,Z h a n g L,e t a l.O r a l M o t o r InterventionImproved the Oral Feeding in Preterm Infants:EvidenceBased on a Meta-Analysis With Trial Sequential Analysis[J].Medicine(Baltimore),2015,94(31):e1310.
[8]李凡.早期口腔运动干预方案改善早产儿经口喂养的效果评价[J].世界最新医学信息文摘,2016,16(11):42-43.
[9]杨素勉,桑文淑,刘敬芳,等.乳房刺激结合食疗对早产儿母乳喂养及母婴健康的影响[J].中国妇幼保健,2016,31(16):3273-3275.
[10]Zhang Y,Lyu T,Hu X,et al.Effect of nonnutritive sucking and oral stimulation on feeding performance inpreterm infants:a randomized controlled trial[J].Pediatr Crit Care Med,2014,15(7):608-614.
[11]万丽,徐芮,叶贞志.住院早产儿母乳喂养对早产儿近期转归的影响[J].国际医药卫生导报,2016,22(23):3708-3709.
[12]李琳琳,陈京立,崔国凤.口腔运动干预对早产儿出院后母乳喂养的影响[J].护士进修杂志,2016,31(14):1266-1269.
[13]郑锦霞,王勤,赵敏慧,等.闭环式管理模式对提高住院早产儿母乳喂养率效果研究[J].护理学报,2016,23(5):32-34.
[14]吕天婵,张玉侠,胡晓静,等.早期联合使用方案改善早产儿经口喂养的效果评价[J].中华护理杂志,2013,48(2):101-105.
[15]Bala P,Kaur R,Mukhopadhyay K,et al.Oromotor Stimulation for Transition from Gavage to Full Oral Feed-ing in Preterm Neonates:A Randomized controlled trial[J].Indian Pediatr,2016,53(1):36-38.