口腔功能训练联合腹部按摩在早产儿经口喂养和生长发育的影响  

Effects of Oral Function Training Combined with Abdominal Massage on Oral Feeding and Growth and Development of Premature Infants

作　　者：李戈 LI Ge(Department of Neonatology,Women and Children's Hospital Affiliated to Xiamen University,Xiamen 361003,China)

机构地区：[1]厦门大学附属妇女儿童医院新生儿科,福建厦门361003

出　　处：《中国医药指南》2022年第33期49-52,共4页Guide of China Medicine

摘　　要：目的 探讨口腔功能训练联合腹部按摩在早产儿经口喂养和生长发育的影响。方法 选择2021年9月至2022年3月期间本院收治的72例早产儿,随机分为腹部按摩组和口腔功能训练联合腹部按摩组,各36例。腹部按摩组实施常规护理,并进行腹部按摩护理,口腔功能训练联合腹部按摩组在腹部按摩组的基础上增加口腔功能训练,观察患儿经口喂养情况和排便情况变化,并对比两组生长水平指标改变,评估患儿神经发育水平和运动发育水平改善情况。结果 口腔功能训练联合腹部按摩组干预2周后每日奶量(181.36±34.25)mL均显著高于腹部按摩组(150.26±35.02)m L(P <0.05);口腔功能训练联合腹部按摩组喂养耐受时间(8.20±1.02)d、经口喂养困难消失时间(11.96±2.56)d、恢复正常体质量时间(10.96±2.73)d、首次排胎粪时间(25.36±5.69)h和每日排便次数(3.74±1.05)次均显著低于腹部按摩组(P <0.05)。口腔功能训练联合腹部按摩组喂养不良事件发生率(22.22%,8/36)显著低于腹部按摩组(41.67%,15/36)(P <0.05)。口腔功能训练联合腹部按摩组干预4周后头围增长(3.82±0.52)cm、身长增长(4.35±1.02)cm、体质量增长(1.74±0.41)kg幅度均显著高于腹部按摩组(P <0.05)。结论 口腔功能训练与腹部按摩联合应用,可有效改善早产儿经口喂养状态,促进早产儿生长,并可改善其神经和运动发育水平,有助于加快早产儿生长发育速度,有助于尽快纠正胎龄,改善早产儿预后,临床应用可行性较强,值得推广借鉴。Objective To investigate the effect of oral function training combined with abdominal massage on oral feeding and growth and development of premature infants.Result A total of 72 premature infants admitted to our hospital from September 2021 to March 2022 were selected and randomly divided into an abdominal massage group and an oral function training combined with abdominal massage group,with 36 cases in each group.The abdominal massage group was given routine nursing care and abdominal massage nursing.The oral function training combined with abdominal massage group added oral function training on the basis of the abdominal massage group.Assess the improvement of neurodevelopmental level and motor developmental level in children.Results The daily milk volume(181.36±34.25)mL in the oral function training combined with abdominal massage group was significantly higher than that in the abdominal massage group(150.26±35.02)mL after 2 weeks of intervention(P<0.05);The feeding tolerance time in the oral function training combined with abdominal massage group(8.20±1.02)d,time to disappearance of oral feeding difficulties(11.96±2.56)d,time to return to normal body weight(10.96±2.73)d,time to first meconium excretion(25.36±5.69)h and number of bowel movements per day(3.74±1.05)times were significantly lower than those in the abdominal massage group(P<0.05).The incidence of adverse feeding events in the oral function training combined with abdominal massage group(22.22%,8/36)was significantly lower than that in the abdominal massage group(41.67%,15/36)(P<0.05).After 4 weeks of intervention,the head circumference(3.82±0.52)cm,body length(4.35±1.02)cm and body weight(1.74±0.41)kg in the oral function training combined with abdominal massage group were significantly higher than those in the abdominal massage group(P<0.05).Conclusion The combined application of oral function training and abdominal massage can effectively improve the oral feeding status of premature infants,promote the growth of premature infants,and i

关 键 词：口腔功能训练 腹部按摩 联合应用 早产儿 经口喂养 生长发育 

分 类 号：R72[医药卫生—儿科]