母乳口腔护理在胃管喂养的新生儿中的临床价值探究
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摘要
目的探究母乳口腔护理在胃管喂养新生儿中的临床价值。方法 100例经胃管喂养的早产儿,按照随机数字表法分为对照组和观察组,每组50例。对照组早产儿采用生理盐水进行口腔护理,观察组早产儿采用母乳口腔护理。比较两组早产儿的口腔清洁度、喂养不耐受及新生儿坏死性小肠结肠炎(NEC)发生情况、矫正胎龄37周体重增长百分比、胃管留置时间。结果观察组早产儿口腔清洁度评分(4.53±1.05)分高于对照组的(4.05±1.21)分,差异有统计学意义(P<0.05);观察组早产儿喂养不耐受及NEC发生率8.00%、4.00%低于对照组的24.00%、18.00%,差异有统计学意义;对照组矫正胎龄37周体重增长百分比为(6.27±3.01)%、胃管留置时间为(139.28±54.12)h;观察组矫正胎龄37周体重增长百分比为(13.08±3.57)%、胃管留置时间为(96.24±36.12)h;观察组早产儿的矫正胎龄37周体重增长百分比显著高于对照组,胃管留置时间显著短于对照组,差异有统计学意义(P<0.05)。结论母乳口腔护理对胃管喂养早产儿体重增加具有的促进作用,并可以减少胃管留置时间、喂养不耐受及NEC的发生。
Objective To study the clinical value of breast milk oral care in neonates with gastric tube feeding. Methods A total of 100 premature infants fed by gastric tube were randomly divided into the control group and the observation group, 50 cases in each group. The control group was given physiological saline for oral nursing, the observation group was given breast milk oral care. The oral cleanliness, feeding intolerance and neonatal necrotizing enterocolitis(NEC), corrected gestational age 37 weeks weight gain percentage and gastric tube retention time between the two groups were compared. Results The oral cleanliness score of the observation group was(4.53±1.05) scores, which was significantly higher than(4.05±1.21) scores of the control group, the difference was statistically significant(P<0.05). The incidence rate of feeding intolerance and NEC in the observation group were 8.00% and 4.00% respectively, which were significantly lower than 24.00% and 18.00% in the control group, the differences were statistically significant(P<0.05). The corrected gestational age 37 weeks weight growth percentage and gastric tube retention time of the control group were(6.27±3.01)% and(139.28±54.12) h, and above indicators of the observation group were(13.08±3.57)% and(96.24±36.12) h, the corrected gestational age 37 weeks weight growth percentage of the observation group was significantly higher than that of the control group, gastric tube retention time was sighificantly shorter than that of the control group, the differences were statistically significant(P<0.05). Conclusion Oral care of breast milk can promote the weight growth of premature infants fed by gastric tube, and reduce the indwelling time of gastric tube, feeding intolerance and the occurrence of NEC.
Objective To study the clinical value of breast milk oral care in neonates with gastric tube feeding. Methods A total of 100 premature infants fed by gastric tube were randomly divided into the control group and the observation group, 50 cases in each group. The control group was given physiological saline for oral nursing, the observation group was given breast milk oral care. The oral cleanliness, feeding intolerance and neonatal necrotizing enterocolitis(NEC), corrected gestational age 37 weeks weight gain percentage and gastric tube retention time between the two groups were compared. Results The oral cleanliness score of the observation group was(4.53±1.05) scores, which was significantly higher than(4.05±1.21) scores of the control group, the difference was statistically significant(P<0.05). The incidence rate of feeding intolerance and NEC in the observation group were 8.00% and 4.00% respectively, which were significantly lower than 24.00% and 18.00% in the control group, the differences were statistically significant(P<0.05). The corrected gestational age 37 weeks weight growth percentage and gastric tube retention time of the control group were(6.27±3.01)% and(139.28±54.12) h, and above indicators of the observation group were(13.08±3.57)% and(96.24±36.12) h, the corrected gestational age 37 weeks weight growth percentage of the observation group was significantly higher than that of the control group, gastric tube retention time was sighificantly shorter than that of the control group, the differences were statistically significant(P<0.05). Conclusion Oral care of breast milk can promote the weight growth of premature infants fed by gastric tube, and reduce the indwelling time of gastric tube, feeding intolerance and the occurrence of NEC.
引文
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[4]贾湘杰,刘九月,韩爱茹.NICU新生儿医院感染的影响因素研究.实用中西医结合临床,2017,17(5):85-86.
[5]徐倩倩,卓瑞燕,程奇,等.母乳在管饲喂养早产儿口腔护理中的应用效果评价.天津护理,2017,25(4):285-287.
[6]赵晓兰.产科护理中系统性母乳喂养指导的临床价值分析.现代养生,2018(2):138-139.
[7]张晓芳,李英.个性化护理在剖宫产产妇母乳喂养及新生儿喂养中的临床应用效果观察.世界最新医学信息文摘,2018(5):180.
[8]姜喜英,盛方明.系统化健康宣教在NICU早产儿母乳喂养中的应用效果.中国实用医药,2017,12(9):181-183.
[9]韩会敏.纯母乳喂养对新生儿黄疸发生率的影响研究.中国处方药,2017,15(12):17-18.
[2]陈喻萍,陈丹,洪维,等.口腔按摩联合口腔支持对极低出生体重早产儿喂养结局的影响.护理学杂志,2013,28(3):35-38.
[3]迟春昕,谢巧庆,林俊.NICU早产儿医院感染危险因素分析及对策.中华医院感染学杂志,2014,24(5):1268-1269.
[4]贾湘杰,刘九月,韩爱茹.NICU新生儿医院感染的影响因素研究.实用中西医结合临床,2017,17(5):85-86.
[5]徐倩倩,卓瑞燕,程奇,等.母乳在管饲喂养早产儿口腔护理中的应用效果评价.天津护理,2017,25(4):285-287.
[6]赵晓兰.产科护理中系统性母乳喂养指导的临床价值分析.现代养生,2018(2):138-139.
[7]张晓芳,李英.个性化护理在剖宫产产妇母乳喂养及新生儿喂养中的临床应用效果观察.世界最新医学信息文摘,2018(5):180.
[8]姜喜英,盛方明.系统化健康宣教在NICU早产儿母乳喂养中的应用效果.中国实用医药,2017,12(9):181-183.
[9]韩会敏.纯母乳喂养对新生儿黄疸发生率的影响研究.中国处方药,2017,15(12):17-18.