发展性照顾对早产儿胃肠功能成熟度的影响

Effect of developmental care on the maturity of gastrointestinal function of premature infants

目的:探讨发展性照顾对早产儿胃肠功能成熟度的影响。方法:将100例早产儿按出生顺序随机分为实验组和常规组各50例,两组早产儿均给予常规护理、治疗。常规组在不能经口喂养期间给予非营养性吸吮,实验组给予疼痛干预、音乐疗法等发展性照顾。比较两组早产儿血液中胃泌素(GAS)水平、体重增长速度及喂养不耐受发生率。结果:实验组早产儿出生后5 d、10 d GAS水平均高于常规组(P<0.05),恢复出生体重时间早于常规组(P<0.05),喂养不耐受发生率低于常规组(P<0.05)。结论:发展性照顾可促进早产儿GAS释放,促进胃肠功能成熟及体重增长,降低喂养不耐受发生率。

Objective ： To explore the effect of developmental care on the maturity of gastrointestinal lunctton o! premature mtants. Methods：100 premature infants were randomly divided into the experimental group and the routine nursing group （50 cases in each group） according to the birth order. The premature infants in both groups were given routine nursing care and therapy. The premature infants in the routine nursing group were given non - nutritive sucking when they could not be given oral feeding and the developmental care like pain intervention and music therapy was provided for the premature infants in the experimental group. The level of blood gastrin （GAS） , body weight growth rate and the incidence of feeding intolerance were compared between the two groups. Results ： The level of GAS of premature infants in 5 and 10 days after birth was higher in the experimental group than the routine nursing group （ P 〈 0.05 ） ; the time to resume birth weight was earlier in the experimental group than the routine nursing group （ P 〈 0.05 ） ; the incidence of feeding intolerance was lower in the experimental group than the routine nursing group （ P 〈 0.05 ）. Conclusion ： The developmental care can promote the release of GAS, the maturity of gastrointestinal function and body weight growth of premature infants and reduce the incidence of feeding intolerance.