口腔按摩改善早产儿经口喂养困难的效果观察

Effect of oral massage on oral feeding to premature infants

目的观察口腔按摩应用于经口喂养困难早产儿的效果。方法选择2009年6月～2010年4月本科室收治的72例经口喂养困难早产儿,随机分为试验组和对照组,每组36例。对照组早产儿给予鼻饲奶液,并做好常规护理;试验组在对照组基础上,给予口腔按摩,观察两组早产儿由鼻饲到完全经口喂养时间、恢复出生体质量时间、睡眠时间以及并发症发生情况。结果试验组早产儿达到完全经口喂养时间较对照组短,恢复到出生体质量时间较对照组早,睡眠时间较对照组长,喂养不耐受及口腔感染例数较对照组少,两组比较,均P<0.05,差异具有统计学意义。结论对经口喂养困难早产儿采取口腔按摩治疗能明显改善早产儿吸吮吞咽功能,缩短达到完全经口喂养时间。

Objective To probe the effect of oral massage on oral feeding to premature infants.Methods Seventy-two premature infants hospitalized in the department of newborn infants during June 2009 to April 2010 were equally randomized into the control and experiment group：the former were managed with nasal feeding of milk and routine nursing and the latter with oral massage apart from routine nursing.The two groups were compared in terms of the time from nasal feeding to oral feeding,the time for reaching body constitution,sleep time and complications.Results The time from nasal feeding to oral feeding and the time for reaching body constitution were significantly shorter in the experiment group than those of the control and the sleep time was significantly longer than that of the control group（all P 0.05）.The cases of oral infections n the experiment group were significantly fewer than that of the control（P 0.05）.Conclusion The oral massage to the premature infants with oral feeding problems may be effective in improving their sucking and swallowing function and shorten the time for fully oral feeding.