母乳口腔护理在胃管喂养的新生儿中的临床价值探究

Study on the clinical value of breast milk oral care in neonates with gastric tube feeding

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.