综合口腔运动干预对早产儿神经行为的影响

Effectiveness of integrated oral motor interventions on neurobehavioral development in preterm infants

目的探讨综合口腔运动干预对早产儿神经行为的影响。方法将144例入住NICU的早产儿随机分为对照组(44例)、口腔运动干预组(OMIs组,42例)及综合口腔运动干预组(IOMIs组,45例)。对照组实施早产儿常规发育支持护理;OMIs组实施Fucile口腔运动干预及早产儿发育支持护理;IOMIs组实施综合口腔运动干预及早产儿发育支持护理。比较三组早产儿入院第3天、第7天和第14天神经行为评分。结果三组早产儿入院第3天和第7天时神经行为总分及各维度得分差异无统计学意义(均P>0.05);入院第14天,IOMIs组早产儿神经行为总分、一般情况及原始反射维度得分显著高于对照组,神经行为总分、一般情况显著高于OMIs组(均P<0.05)。结论综合口腔运动干预可有效促进早产儿入院第14天神经行为的发育。

Objective To explore the effect of integrated oral motor interventions on neurobehavioral development in preterm infants.Methods A total of 144 preterm infants hospitalized in neonatal intensive care unit were randomized into 3 groups:the control group(n=44)was given routine developmentally supportive care,the OMIs group(n=42)additionally received Fucile′s oral motor interventions,and the IOMIs received integrated oral motor interventions.Neurobehavioral development was measured using the Neonatal Behavioral Neurological Assessment(NBNA)at the 3rd,7th and 14th day after admission and compared among the 3 groups.Results There were no statistically significant differences in the total NBNA score and the dimension scores among the 3 groups at the 3rd and 7th day after admission(P>0.05 for all).On the 14th day,the IOMIs group had higher total NBNA score and dimension scores of general situation and original reflection than the control group(P<0.05 for all),and also had higher total NBNA score and score of original reflection than the OMIs group(P<0.05 for both).Conclusion The integrated oral motor interventions can effectively promote neurobehavioral development in preterm infants at the 14th day of admission.