口腔运动干预联合腹部按摩对经口喂养困难早产儿的喂养困难状况及行为神经发育的影响

Effect of oral exercise intervention combined with abdominal massage on feeding difficulties and behavioral nerve development in premature infants with oral feeding difficulties

目的探究口腔运动干预联合腹部按摩对经口喂养困难早产儿的喂养困难状况及行为神经发育的影响。方法前瞻性分析2020年11月至2021年10月沧州市人民医院接收的喂养困难早产儿80例作为研究对象,以随机数字表法将其分为对照组、观察组两组,每组各40例。对照组接受常规喂养干预,观察组在对照组基础上给予口腔运动干预联合腹部按摩。比较两组干预后喂养困难状况、行为神经发育及生长发育效果差异。结果干预后观察组经口喂养过渡时间为(9.03±1.15)d,短于对照组[(11.25±1.29)d],体重增长速度为(20.20±0.08)g/d,高于对照组[(12.12±0.07)g/d],出院时纠正胎龄为(36.02±0.71)周,低于对照组[(36.36±0.06)周],差异均有统计学意义(P<0.05)。干预后,观察组NBNA量表中行为能力、主动肌张力、被动肌张力、原始反射、一般评估评分分别为(9.21±0.78)、(6.85±0.47)、(6.87±0.46)、(4.85±0.34)、(4.81±0.27)分,均高于对照组[(8.50±0.70)、(5.68±0.45)、(5.70±0.52)、(4.02±0.40)、(3.92±0.32)分],差异均有统计学意义(P<0.05)。干预后,观察组身长、头围、体重分别为(45.60±0.50)cm、(32.69±1.10)cm、(2.38±0.14)kg,均高于对照组[(43.05±0.32)cm、(31.54±1.15)cm、(2.05±0.17)kg],差异均有统计学意义(P<0.05)。结论口腔运动干预联合腹部按摩用于经口喂养困难早产儿中不仅可改善喂养困难状况,还能促进行为神经发育及生长发育,值得推广。

Objective To explore the effect of oral exercise intervention combined with abdominal massage on feeding difficulties and behavioral nerve development in preterm infants with oral feeding difficulties.Methods Retrospective analysis was made on 80 cases of premature infants with feeding difficulties received in Cangzhou People's Hospital from November 2020 to October 2021.They were divided into control group and observation group according to the random number table method,with 40 cases in each group.The control group received routine feeding intervention.The observation group was given oral exercise intervention combined with abdominal massage on the basis of the control group.The differences in feeding difficulties,behavioral neural development,and growth and development effects between the two groups after intervention were compared.Results After intervention,the transition time of oral feeding in the observation group was(9.03±1.15)d,which was shorter than that in the control group[(11.25±1.29)d],the growth rate of body weight in the observation group was(20.20±0.08)g/d,which was higher than that in the control group[(12.12±0.07)g/d],and the corrected gestational age in the observation group at discharge was(36.02±0.71)w,which was lower than that in the control grou[(36.36±0.06)w],the differences were statistically significant(P<0.05).After intervention,the behavioral ability,active muscle tension,passive muscle tension,original reflex,general evaluation of the observation group were(9.21±0.78),(6.85±0.47),(6.87±0.46),(4.85±0.34),(4.81±0.27)points,respectively,which were higher than those of the control group[(8.50±0.70),(5.68±0.45),(5.70±0.52),(4.02±0.40),(3.92±0.32)points],the differences were statistically significant(P<0.05).After intervention,the body length,head circumference,body weight of the observation group were were(45.60±0.50)cm,(32.69±1.10)cm,and(2.38±0.14)kg,respectively,which were higher than those of the control group[(43.05±0.32)cm,(31.54±1.15)cm,and(2.05±0.17)kg],the differences were statistically significant(P<0.05).Conclusion Oral exercise intervention combined with abdominal massage in preterm infants with oral feeding difficulties can not only improve the feeding difficulties,but also promote behavioral and neurological development and physical and mental development,which is worthy of promotion.