非营养性吸吮联合三阶梯俯卧位对早产儿喂养不耐受的疗效

Effect of non-nutritive sucking combined with three-step prone position on feeding intolerance of premature infants

目的探讨应用非营养性吸吮联合三阶梯俯卧位干预对早产儿喂养不耐受的疗效。方法回顾性分析英德市人民医院2018年2月~2020年6月收治的60例喂养不耐受早产儿,其中2018年2月~2019年8月收治的未实施非营养性吸吮联合三阶梯俯卧位干预的30例患儿为对照组,2019年9月~2020年6月收治的实施非营养性吸吮联合三阶梯俯卧位干预的30例患儿为研究组。比较两组喂养不耐受症状、喂养指标、住院时间以及生长发育指标。结果研究组呕吐、腹胀、呼吸暂停、胃潴留发生率分别为6.67%、3.33%、3.33%、10.00%,低于观察组的26.67%、30.00%、26.67%、33.33%,开奶时间、达到经口全胃肠喂养条件的时间、住院时间,短于对照组,出生第14天体重、头围高于对照组,差异均有统计学意义(P<0.05)。结论非营养性吸吮联合三阶梯俯卧位能改善早产儿喂养不耐受症状,促进胃肠道功能成熟,改善喂养状况,促进其生长发育,缩短住院时间,利于患儿预后。

Objective To explore the effect of non-nutritive sucking combined with three-step prone position intervention in premature infants with feeding intolerance.Methods A total of 60 cases of premature infants with feeding intolerance admitted to Yingde People′s Hospital from February 2018 to June 2020 were retrospectively analyzed.Among them,30 children admitted from February 2018 to August 2019 who did not perform non-nutritive sucking combined with three-step prone intervention were the control group,and another 30 children admitted from September 2019 to June 2020 who performed non-nutritive sucking combined with three-step prone position intervention were the study group.The symptoms of feeding intolerance,feeding indexes,hospitalization time,growth and development indexes were compared between the two groups.Results The incidence of vomiting,abdominal distention,apnea and gastric retention in the study group of 6.67%,3.33%,3.33%,10.00%,respectively,lower than those in the observation group of 26.67%,30.00%,26.67%,33.33%,and the time of opening the milk,the time of reaching the total enteral feeding time and the time of stay were all shorter than those in the control group,birth weight,head circumference at the 14th day were all higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Non-nutritive sucking combined with three-step prone position can improve the feeding intolerance symptoms of preterm infants,promote gastrointestinal functional maturity,improve feeding status,promote their growth and development,shorten the hospitalization time and benefit the prognosis of children.