早期口腔运动干预联合腹部按摩治疗早产儿喂养不耐受的效果分析  

Effect of early oral exercise intervention combined with abdominal massage on feeding intolerance in premature infants

作　　者：陈玲娇 吴爱惜 王丽珍 CHEN Lingjiao;WU Aixi;WANG Lizhen(Department of Pediatrics,Taizhou Hospital Taizhou,Enze Medical Center(Group)in Zhejiang Province,Linhai 317000,China)

机构地区：[1]浙江省台州恩泽医疗中心(集团)台州医院儿内科,浙江临海317000

出　　处：《中国现代医生》2020年第2期77-79,83,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2015KYA238)。

摘　　要：目的探讨早期口腔运动干预联合腹部按摩治疗早产儿喂养不耐受的效果。方法选取2015年1月~2018年10月出生的早产儿80例,随机分为两组,各40例。对照组早产儿予以早期口腔运动干预,包括口腔刺激及非营养吸吮两部分。观察组早产儿在对照组基础上给予腹部按摩。观察并比较两组早产儿治疗后喂养不耐受及经口喂养情况,并比较治疗2周后临床效果。结果观察组早产儿喂养不耐受发生率明显低于对照组,开始经口喂养时间及完全经口喂养时间明显短于对照组(P<0.05)。治疗2周后,观察组早产儿临床总有效率明显高于对照组(χ2=4.50,P<0.05)。结论早期口腔运动干预联合腹部按摩用于早产儿的临床效果确切,可提高喂养效果,减少喂养不耐受的发生,尽早达完全经口喂养。Objective To investigate the effect of early oral exercise intervention combined with abdominal massage on feeding intolerance in premature infants.Methods 80 premature infants born between January 2015 and October 1818 were randomly divided into two groups,with 40 patients in each group.Premature infants in the control group were given early oral exercise interventions,including oral stimulation and non-nutritive sucking.Premature infants of the observation group were treated with abdominal massage based on the treatment of the control group.The feeding intolerance and oral feeding after treatment in the two groups were observed and compared,and the clinical effects after 2 weeks of treatment were compared.Results The incidence of feeding intolerance in the observation group was significantly lower than that in the control group,and the oral feeding time and complete oral feeding time in the observation group was significantly shorter than that of the control group(P<0.05).After 2 weeks of treatment,the total clinical effective rate of preterm infants in the observation group was significantly higher than that of the control group(χ2=4.50,P<0.05).Conclusion Early oral exercise intervention combined with abdominal massage for premature infants has clear clinical effect,which can improve feeding effect,reduce the occurrence of feeding intolerance,and complete oral feeding as soon as possible.

关 键 词：喂养不耐受 早产儿 口腔运动干预 腹部按摩 

分 类 号：R722.6[医药卫生—儿科]