非营养性吸吮在早产儿黄疸早期干预中的临床应用  

Clinical application for non-nutritive sucking in early stage interference to the premature infant jaundice

作　　者：和强[1] 廖志勤[1] 虞靖虹[1] 李雪华[2] 

机构地区：[1]广东医学院第二附属医院儿科,广东湛江524003 [2]广东医学院附属医院,广东湛江524001

出　　处：《中国儿童保健杂志》2006年第2期147-149,共3页Chinese Journal of Child Health Care

摘　　要：【目的】探讨非营养性吸吮早期干预早产儿黄疸的临床作用。【方法】将52例需经鼻胃管喂养的早产适于胎龄儿,根据是否辅以非营养性吸吮,随机分成非营养性吸吮(non-nutritive sucking,NNS)组30例和对照组22例,两组均采用相同的配方乳经鼻胃管喂养以及静脉营养方案,且均采用相同的蓝光照射以及药物治疗方案进行黄疸治疗,而NNS组则在此基础上辅以非营养性吸吮。采用美国BECKMAN公司SYNCHRON CX5△全自动生化分析仪,分别测定两组早产儿生后第3、7、14 d的血清胆红素值,并分别记录两组早产儿黄疸持续时间、胎粪排尽时间、胃残留奶量、每日大便次数以及大便量。【结果】NNS组早产儿生后第3、7、14 d的血清胆红素值均明显降低,黄疸持续时间及胎粪排尽时间均明显缩短,胃残留奶量明显减少,与对照组比较,差异均有非常显著性(P<0.01);而平均每日大便次数以及大便量较对照组则明显增多,与对照组比较,差异均有非常显著性(P<0.01)。【结论】非营养性吸吮对于早期干预早产儿黄疸,有较好的临床疗效,可作为一种早期干预早产儿黄疸的辅助治疗方法,值得临床进一步推广使用。[Objectives] To explore the clinical application for non-nutritive sucking in early stage interference to the premature infant jaundice. [Methods] 52 cases of appropriate for gestational age premature infants accepting nasogastric feeding were randomizedly divided into 30 cases of non-nutritive sucking group（NNS group） and 22 cases of comparison group according to nasogastric feeding with or without non-nutritive sucking. The same prescription was used to feed with the same milk formula and intravenous feeding as curative plan between two groups ;also the same blue-light irradiation and medicine treatment for jaundice were used, but non-nutritive sucking was used in NNS group based on that. Using Ameri can BECKMAN Company＇ s SYNCHRON CX5△ full automatic biological analyzer to test serum bilirubin value for the premature infant jaundice of two groups for the third, seventh and fourteenth days and recording two groups of babies for jaundice lasting time, time for baby meconium elimination fully, remaining milk volume, dung elimination times for each day and dung volume. [Results] The serum bilirubin value in the NNS group reduction for the third, seventh and fourr teenth days was clear; shortening jaundice lasting time and meconium elimination fully time was clear; reduction of remaining milk volume so as to be clear compared with comparison group, the differences were all significant （P〈0. 01 ） ; but the times of average daily dung elimination and dung volume increases more than comparison group with significance （ P〈 0. 01 ）. [Conclusions] The non-nutritive sucking has better curative effect in early stage interference to the premature infant jaundice in clinical application so as to be used for auxiliary treatment as a kind of early stage interference to the premature infant jaundice. So it is worth promoting for application in clinic further.

关 键 词：非营养性吸吮 婴儿 早产 黄疸 

分 类 号：R722.1[医药卫生—儿科]