非营养性吸吮联合抚触对早产儿消化功能的影响  

Effect of non-nutritive sucking combined with massage on digestive function in premature infant

作　　者：王素萍[1] 余霞[1] 陆丹琼 夏芬芬[1] 

机构地区：[1]浙江省舟山市妇幼保健院NICU,316000

出　　处：《中华现代护理杂志》2014年第11期1291-1292,共2页Chinese Journal of Modern Nursing

基　　金：2012年度舟山市医药卫生科技计划项目（2012812）

摘　　要：目的：探讨非营养性吸吮联合抚触疗法对早产儿消化功能的影响。方法将2012年1-12月收治的96例早产儿随机分为对照组和观察组，每组各48例。对照组给予常规喂养和护理，观察组在此基础上给予非营养性吸吮联合抚触疗法，比较两组患儿胃残留及呕吐、腹胀的例数，胎粪排尽时间以及肠道营养热量达到418．4 kJ/（ kg · d）的时间。结果观察组患儿的胃残留发生率为12．5％（6/48），呕吐发生率为10．4％（5/48），腹胀发生率为8．3％（4/48），分别低于对照组的31．2％（15/48），27．1％（13/48），22．9％（11/48），差异均有统计学意义（χ2值分别为4．94，4．38，3．87；P＜0．05）。观察组患儿胎粪排尽时间为（5．6±0．7）d，肠道营养热量达到418．4 kJ/（kg· d）的时间为（18．6±2．8）d，分别短于对照组的（7．7±1．6），（21．9±2．1）d，差异均有统计学意义（t值分别为8．333，6．532；P＜0．01）。结论非营养性吸吮联合抚触对早产儿消化功能的发育和成熟有促进作用。Objective To explore the effect of non-nutritive sucking combined with massage on digestive function in premature infants .Methods Ninety six premature infants from January 2012 to December 2012 were randomly divided into the control group and the observation group , each with 48 cases.The control group received the routine feeding and nursing , and the observation group received the non-nutritive sucking combined with massage on the basis of the control group .The cases of gastric residue , vomiting and abdominal distension, the waiting time of meconium and the time of intestinal nutrition heat up to 418.4 kJ/（kg· d） were compared between two groups .Results The incidence rates of gastric residue , vomiting and abdominal distension were respectively 12.5% （6/48）, 10.4% （5/48） and 8.3% （4/48） in the observation group, which were lower than 31.2%（15/48）, 27.1% （13/48）, 22.9% （11/48） in the control group, and the differences were statistically significant （χ2 =4.94,4.38,3.87, respectively;P〈0.05）.The waiting time of meconium and the time of intestinal nutrition heat up to 418.4 kJ/（kg· d） were respectively （5.6 ±0.7） d, （18.6 ±2.8） d in the observation group, which were shorter than （7.7 ±1.6） d, （21.9 ±2.1） d in the control group, and the differences were statistically significant （t =8.333,6.532, respectively;P〈0.01）. Conclusions The non-nutritive sucking combined with massage can promote the process of digestive function development and maturation in premature infants .

关 键 词：早产儿 非营养性吸吮 抚触 消化功能 

分 类 号：R722.6[医药卫生—儿科]