口腔运动干预方案在早产儿经口喂养中的应用  

Application of oral motor intervention program in premature infants with oral feeding

作　　者：白美丽[1] 傅晓丹[1] 罗小婷[1] 吕俊英[1] 陈晓春[1] 

机构地区：[1]温州医科大学第二附属医院育英儿童医院新生儿科,325000

出　　处：《中华现代护理杂志》2016年第32期4686-4688,共3页Chinese Journal of Modern Nursing

摘　　要：目的研究口腔运动干预方案在早产儿经口喂养中的应用效果。方法选取2014年8月-2015年7月收治的82例早产儿为研究对象，根据抽签法分为观察组和对照组，每组41例。对照组采取常规喂养干预。观察组采取口腔运动干预。比较两组早产儿的喂养进程、住院时间、喂养表现、体质量增长情况及不良反应。结果两组早产儿开始完全喂养矫正时胎龄比较差异无统计学意义（P〉0．05），观察组完全经口喂养矫正时胎龄、进展时间显著短于对照组，差异有统计学意义（P〈0．05）。观察组的住院时间显著短于对照组，喂养效率、喂养成效、摄入奶量比显著高于对照组，差异均有统计学意义（P〈0．05）。观察组在出院时的体质量增长显著高于对照组，差异有统计学意义（P〈0．05）。观察组的喂养不耐受、呼吸暂停、血氧饱和度降低不良反应发生率显著低于对照组（P〈0．05）。结论口腔运动干预方案能在一定程度上改善早产儿经口喂养进程，减少早产儿的住院时间，有利于早产儿体质量快速增长．增强喂养效率，降低不良反应发生率。Objective To study the application of oral motor intervention program in premature infants with oral feeding.Methods Totally 82 cases of premature infants from August 2014 to July 2015 were selected as the research object, and were assigned to the obseivation group and the control group according to lot method, with 41 cases in each group. Patients in the control group received regular feeding intervention, while patients in the observation group received oral motor intervention. The feeding process, hospitalization time, feeding performance, situation of body weight increasing and adverse reactions were compared between two groups. Results There was no significant difference in gestational age between two groups when infants began to correct the feeding method （P〉0.05）. The gestational age and the time of progress in infarits with completely oral feeding of the observation group were significantly shorter than that in the control group （P 〈 0. 05 ）. The hospitalization time in the observation group was significantly shorter than that in the control group, while the feeding efficiency, feeding effect and the intake of milk were significantly higher than that in the control group （P〈0.05）. The situation of body weight in the observation group before discharge was significantly better than that in the control group （P〈 0. 05 ）. The feeding.intolerance, apnea, the rate of blood oxygen saturation reducing adverse reaction were significantly lower than that in the control group （P〈0.05）.Conclusions To a certain extent, oral exercise intervention program can improve the oral feeding process of premature infants and reduce the hospitalization time of premature infants. It is advantageous to the rapid growth of body weight in premature infants and the improvement of feed efficiency, and it also can reduce the rate of adverse reactions.

关 键 词：口腔运动干预 早产儿 经口喂养 

分 类 号：R473.72[医药卫生—护理学]