口腔功能训练联合腹部按摩在早产儿经口喂养中的应用效果  

Effects of oral stimulation and abdominal massage in premature infants

作　　者：陶亚琴[1] 马兰[2] 邓晓洁[1] 凌慧[1] 

机构地区：[1]江苏省无锡市妇幼保健院新生儿科,214002 [2]上海建桥学院,201306

出　　处：《中华现代护理杂志》2016年第24期3479-3482,共4页Chinese Journal of Modern Nursing

基　　金：无锡市卫生局妇幼保健科研计划项目（FYKY201406）;无锡市医院管理中心医学科研面上项目（YGZXM1518）

摘　　要：目的：运用口腔功能训练联合腹部按摩的方法，评价对早产儿经口喂养进程、经口喂养表现及住院时间的影响。方法选择符合纳入标准的早产儿80例，随机分为实验组和对照组，每组各40例。实验组在常规护理的基础上采取口腔功能训练联合腹部按摩的喂养方法，直至其完全经口喂养。对照组接受常规护理，并采取间歇喂养，口腔支持和体位支持等。比较两组早产儿达到开始经口喂养和完全经口喂养时的纠正胎龄，计算经口喂养进程、经口喂养表现和住院时间等。结果实验组经口喂养进程（3.38±1.84）d、住院时间（30.25±17.32）d，均低于对照组；实验组喂养效率（6.30±0.94）ml/min、喂养成效（81.45±21.61）％、摄入奶量比（78.97±18.99）％，均高于对照组，两组比较差异有统计学意义（t值分别为－6.317，－2.862，8.543，2.698，2.641；P〈0.05）。结论口腔功能训练联合腹部按摩的方法可以改善早产儿经口喂养困难。Objective To evaluate the effect of oral stimulation and abdominal massage on the progress and performance of oral feeding and length of hospital stay in premature infants. Methods A total of 80 premature infants were randomly assigned into experimental group, and control group. The infants in the experimental group （ n=40） received oral stimulation and abdominal massage in addition to the routine care. The infants of control group （ n=40） received routine care of NICU including intermittent feeding, oral support, and postural support, etc.. The corrected gestational ages were compared between two groups when infants of two groups achieved starting oral feeding and full oral feeding. The progress of oral feeding, performance of oral feeding and length of hospitalization were calculated. Results The progress of oral feeding and length of hospitalization were （3.38±1.84）d and （30.25±17.32）d that all were lower than those of control group; the efficacy of feeding, feeding effects and milk volume intake were （6.30±0.94）ml/min, （81.45±21.61）%, （78. 97±18.99）%, which were higher than those of control group （t=-6.317,-2.862,8.543,2.698,2.641;P〈0.05） . Conclusions The oral stimulation combined with abdominal massage is beneficial for the difficulty of oral feeding in premature infants.

关 键 词：婴儿 早产 婴儿喂养 口腔功能训练 腹部按摩 

分 类 号：R473.72[医药卫生—护理学]