口腔运动干预对低出生体重儿喂养不耐受的作用  

Effects of Oral Stimulation Program on Feeding Intolerance of Low Birth Weight Infants

作　　者：胡玉萍[1] 吴万云[1] 周芳芳[1] 张静[1] 

机构地区：[1]合肥市第一人民医院儿科,安徽合肥230061

出　　处：《解放军护理杂志》2016年第13期50-52,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨口腔运动干预对低出生体重儿喂养不耐受的作用。方法便利抽样选择2014年2月至2015年3月合肥市第一人民医院收治的68例低出生体重儿,随机分成口腔运动干预组和对照组,每组34例。口腔运动干预组给予口周、口腔等按摩干预,对照组给予常规护理干预。比较两组的喂养不耐受发生率、体质量增长情况、恢复出生体质量时间、达成完全经口喂养时间及不良反应发生情况。结果口腔运动干预组喂养不耐受发生率低于对照组低(8.8%vs 35.3%,P<0.05),每日增长体质量高于对照组[(14.78±3.26)g vs(10.36±3.13)g,P<0.05],恢复出生体质量时间[(11.32±1.17)d vs(14.85±1.43)d,P<0.05]及达全胃肠道喂养时间早于对照组[(13.25±2.72)d vs(15.36±2.38)d,P<0.05],两组均未有明显不良反应事件发生。结论口腔运动干预可有效降低低出生体重儿的喂养不耐受发生率,并可促进其体质量增长,缩短体质量恢复时间。Objective To study the effect of oral stimulation program on feeding intolerance of low birth weight （LBW） infants.Methods By convenience sampling,68 cases were selected and randomly divided in- to intervention group and control group, with 34 cases in each group. The interventional group received mouth and oral cavity massage,while the control group received routine nursing intervention.The incidence rate of feeding intolerance, weight growth,the time to regain birth weight and to reach full enteral nutrition and the occurrence of adverse reactions were compared.Results The incidence of feeding intolerance in in- terventional group was lower than the control group（8.8% vs 35.3 %, P 〈0.05）, daily weight growth was higher than the control group （14.78±3.26 g vs 10.36 ± 3.13g, P 〈0.05）.The time to regain birth weight （11.32±1.17 d vs 14.85±1.43 d,P〈0.05） and the time to reach full enteral nutrition （13.25±2.72 d vs 15.36±2.38 d,P〈0.05） in interventional group were shorter than those in the control group.No adverse reactions were observed in the two groups.Conclusions Oral stimulation program can effectively reduce the incidence of feeding intolerance in LBW infants,promote weight growth and shorten the time to regain birth weight.

关 键 词：口腔运动 低出生体重儿 喂养不耐受 

分 类 号：R473.72[医药卫生—护理学]