非营养性吸吮联合抚触干预早产儿胃管喂养的临床研究  

Clinical studies about non-nutritive sucking joint massage interfere in preterm infants with gastric tube

作　　者：安涛[1] 王航雁[2] 郭晓清[1] 王静[2] 蒲秀红[1] 李茜[1] 邱萌[1] 吴琼 谭焱兰[1] 李鸿雁[1] 李媛媛[1] 郭娜[1] 许丽华[1] 

机构地区：[1]中国人民解放军总参谋部总医院儿科,北京100091 [2]中国人民解放军总医院儿科,北京100853

出　　处：《中国儿童保健杂志》2011年第9期783-785,共3页Chinese Journal of Child Health Care

基　　金：国家自然科学基金项目(30801249)

摘　　要：【目的】评价非营养性吸吮联合抚触两种干预方式在早产儿胃管喂养中的临床应用价值。【方法】68例早产适于胎龄儿,生后即给予鼻胃管喂养,随机平均分为两组:干预组和常规喂养组,干预组早产儿在常规喂养的情况下同时给予非营养性吸吮和抚触干预,观察两组早产儿胎便持续时间、生理性体重下降持续天数、胃管留置时间、经口喂养后喂养不耐受的发生率、并发症的发生率、住院天数等指标。【结果】干预组早产儿胎便持续时间、生理性体重下降天数、胃管留置时间、住院天数均短于常规喂养组,差异均有统计学意义(P<0.05);喂养不耐受和并发症的发生率干预组明显低于常规喂养组,差异有统计学意义(P<0.05)。两组早产儿并发症中,高胆红素血症发生率居首位,常规喂养组发生率为44.1%,干预组发生率为14.7%,两组差异具有统计学意义(P<0.05)。两组早产儿在纠正胎龄40周时进行体重、身长、头围的比较,干预组明显优于常规喂养组,差异具有统计学意义(P<0.05)。【结论】非营养性吸吮联合抚触两种干预方式在早产儿喂养中起到良好促进作用。[Objective] To evaluate the clinical application of non-nutritive sucking touching associated with massage interfere in preterm infants fed with gastric tube. [Methods] 68 preterm infants appropriate for gestational age and without other complications were evaluated. They were randomly divided into two groups： the intervention group and the conventional fed group. The intervention group infants accepted non-nutritive sucking and massage intervention in the case of conventional fed, all the information of preterm infants were recorded, including the duration of meconium, the last days of physiological weight loss, the retention time of gastric canal, the incidence of feeding intolerance, the incidence of complications. length of stay in hospital and other indicators. [Results] There were significant differences between the intervention group and the conventional fed group in the duration of meconium, last days of physiological weight loss, the retention time of gastric canal, length of stay in hospital（P〈0.05）. The incidence of feeding intolerance and concurrent disease in the intervention group were less than formula-fed group, the differences were also significant（P〈0.05）. About the complications in two groups of preterm infants, the incidence of hyperbilirubinemia was the highest, the rate of the conventional fed group was 44.1%, the rate of the intervention group was 14.7%, the difference between them was significant（P〈0.05）. At 40 weeks gestational age corrected, the weight, length and head circumference of the intervention group infants were better than the conventional fed group infants, and the difference between them were significant（P〈0.05）. [Conclusion] Non-nutritive sucking touching joint intervention play good role in promoting feeding in preterm infants.

关 键 词：早产儿 喂养 非营养性吸吮 抚触 

分 类 号：R722.6[医药卫生—儿科]