改良抚触联合非营养性吸吮对早产儿喂养不耐受的影响研究

Effect of Modified Touch Combined with Non Nutritive Sucking on Feeding Intolerance in Preterm Infants

目的:分析改良抚触联合非营养性吸吮对早产儿喂养不耐受的影响。方法:选取2019年10月-2021年9月广西壮族自治区妇幼保健院NICU收治的200例早产儿作为研究对象,经随机数字表法分为常规组和试验组,每组100例。常规组应用常规护理干预,在此基础上试验组给予改良抚触联合非营养性吸吮干预。比较两组喂养不耐受发生率、相关喂养指标、生长发育情况及并发症发生率。结果:试验组喂养不耐受发生率为17.00%,明显低于常规组的31.00%,差异有统计学意义(P<0.05)。试验组完全经口喂养时间明显早于常规组,差异有统计学意义(P<0.05)。试验组恢复出生体重时间明显早于对照组,而且第14天时在体重、身长及头围增长方面明显高于常规组,差异有统计学意义(P<0.05)。入住NICU期间,试验组并发症发生率为9.00%,明显低于常规组的20.00%,差异有统计学意义(P<0.05)。结论:在常规护理基础上实施改良抚触联合非营养性吸吮干预,可明显改善早产儿生长发育情况,缩短完全经口喂养时间,降低喂养不耐受及并发症发生率。

Objective:To analyze the effect of modified touch combined with non nutritional sucking on feeding intolerance in preterm infants.Method:A total of 200 premature infants treated in NICU from October 2019 to September 2021 in Guangxi Zhuang Autonomous Region Maternal and Child Health Care Hospital were selected as the research objects and divided into routine group and experimental group by random number table method,with 100 cases in each group.The routine group was given routine nursing intervention,and on this basis,the experimental group was given modified touch combined with non nutritional sucking intervention.The incidence of feeding intolerance,related feeding indexes,growth and development and the incidence of complications were compared between the two groups.Result:The incidence of feeding intolerance in the experimental group was 17.00%,which was significantly lower than 31.00%in the routine group,the difference was statistically significant(P<0.05).The complete oral feeding time in the experimental group was significantly earlier than that in the routine group,the difference was statistically significant(P<0.05).The recovery time of birth weight in the experimental group was significantly earlier than that in the routine group,and the growth of body weight,body length and head circumference in the 14th day were significantly higher than those in the routine group,the differences were statistically significant(P<0.05).During admission to NICU,the incidence of complications in the experimental group was 9.00%,which was significantly lower than 20.00%in the routine group,the difference was statistically significant(P<0.05).Conclusion:On the basis of routine nursing,the implementation of modified touch combined with non nutritional sucking intervention can significantly improve the growth and development of preterm infants,shorten the time of complete oral feeding,and reduce the incidence of feeding intolerance and complications.