体位喂养联合腹部按摩对早产儿喂养耐受性及胃肠功能的影响分析

Analysis of the Effect of Postural Feeding Combined with Abdominal Massage on Feeding Tolerance and Gastrointestinal Function in Premature Infants

目的观察体位喂养联合腹部按摩对早产儿喂养耐受性及胃肠功能的影响。方法方便选取2018年4月—2019年10月期间该院诊治的180例早产儿,随机分为A组(体位喂养组)60例、B组(腹部按摩组)60例和C组(体位喂养联合腹部按摩组)60例。比较3组干预前后的喂养不耐受率、胎粪排出时间、胎粪排尽时间、达到足量喂养时间、恢复至出生体重时间及不同时间的摄入奶量、家长满意度。结果C组的喂养不耐受率低于A组及B组,3组的喂养不耐受率分别为(35.00%、13.33%、11.67%),差异有统计学意义(P<0.05);3组的胎粪排出时间分别为(1.36±0.21)d、(1.32±0.18)d、(0.82±0.10)d,胎粪排尽时间分别为(2.88±0.52)d、(2.96±0.56)d、(2.23±0.50)d,达到足量喂养时间分别为(12.66±1.76)、(12.57±1.68)d、(9.33±1.35)d及恢复至出生体重时间分别为(9.26±0.60)d、(9.20±0.53)d、(8.03±0.37)d,C组均短于A组及B组;同时间的摄入奶量多于A组及B组,差异有统计学意义(P<0.05),而A组与B组的上述方面比较,差异无统计学意义(P>0.05)。结论体位喂养联合腹部按摩对早产儿喂养耐受性及胃肠功能的影响相对更好,在早产儿中的应用价值较高。

Objective To observe the effect of postural feeding combined with abdominal massage on feeding tolerance and gastrointestinal function in premature infants.Methods Itis convenient to select 180 premature infants admitted to this hospital from April 2018 to October 2019 were randomly divided into group A(postural feeding group)60 cases,group B(abdominal massage group)60 cases,and group C(postural feeding combined abdominal massage group)60 cases.The feeding intolerance rate,meconium discharge time,meconium exhaust time,time to reach adequate feeding,time to return to birth weight,milk intake at different times,and parent satisfaction were compared between the three groups before and after the intervention.Results The feeding intolerance rate of group C was lower than that of group A and group B.The feeding intolerance rates of the three groups were(35.00%,13.33%,11.67%),and the difference was statistically significant(P<0.05);the meconium discharge time was(1.36±0.21)d,(1.32±0.18)d,(0.82±0.10)d,and the meconium discharge time was(2.88±0.52)d,(2.96±0.56)d,(2.23±0.50)d,respectively;the time to reach adequate feeding was(12.66±1.76)d,(12.57±1.68)d,(9.33±1.35)d and the time to return to birth weight were(9.26±0.60)d,(9.20±0.53)d,(8.03±0.37)d.Group C was shorter than group A and group B;the milk intake at different times was more than that of group A and group B,the difference was statistically significant(P<0.05),while the above-mentioned aspects of group A and group B are compared,The difference was not statistically significant(P>0.05).Conclusion Position feeding combined with abdominal massage has a relatively better effect on feeding tolerance and gastrointestinal function in preterm infants,and it has a higher application value in preterm infants.