口腔运动干预对早产儿经口喂养进程及表现的影响

Process and the performance of oral stimulation program on oral feeding in preterm children

目的探讨口腔运动干预对早产儿经口喂养进程及表现的影响。方法选择干预组74例和对照组73例早产儿,对照组采用常规早产儿喂养护理,干预组实施包括口周、口腔及非营养性吸吮等口腔运动干预,比较两组经口喂养进程、表现、体重增长及不良事件。结果干预组开始经口喂养纠正胎龄、完全经口喂养纠正胎龄、喂养过渡时间与对照组比较,差异均有统计学意义(P<0.05)。干预组开始经口喂养摄入奶量比、喂养效率与对照组比较,差异均有统计学意义(P<0.05)。干预组完全经口喂养摄入奶量比、喂养效率与对照组比较,差异均有统计学意义(P<0.05)。出院体重、每日增长体重、恢复出生体重时间与对照组比较,差异均有统计学意义(P<0.05)。两组喂养不良事件率比较,差异有统计学意义(P<0.05)。结论实施口腔运动干预促进早产儿吸吮吞咽反射建立和协调性,缩短经口喂养进程,改善喂养效果。

Objective To investigate the process and the performance of oral stimulation program on oral feeding in preterm children. Methods Seventy-four cases of intervention group and seventy-three cases of control group were se- lected, premature children in the control group used conventional feeding preterm child care, included the implementa- tion of the intervention group perioral, oral and non-nutritive sucking and other oral stimulation program, oral feeding process, weight gain and adverse events were compared. Results The intervention group started oral feeding corrected gestational age, feeding by mouth completely corrected gestational age, feeding over time compared with the control group, the differences were statistically significant（P 〈0.05）. Intervention group started oral intake of milk than feeding, feeding efficiency compared with the control group, the differences were statistically significant （P 〈0.05）. Intervention group entirely oral intake of milk than feeding, feeding efficiency compared with the control group, the differences were statistically significant （P 〈0.05）. Discharge weight, the daily increase in weight, time to regain birth weight compared with the control group, the differences were statistically significant （P 〈0.05）. Two feeding rate of adverse events, the differences were statistically significant （P 〈0.05）. Conclusion Oral stimulation program could swallow reflex establish- ment and coordination in preterm children, shorten the process of oral feeding, feeding effect is significantly improved.