口腔运动干预联合腹部按摩在早产儿喂养困难中的应用价值分析  

Value of oral exercise intervention combined with abdominal massage in preterm infants with feeding difficulties

作　　者：李桂芳 边桂然 张爱琴 王亚娟 于静静 孟康康 吴秀芳 LI Gui-fang;BIAN Gui-ran;ZHANG Ai-qin(Department of Neonatology,Cangzhou People's Hospital,Cangzhou Hebei 061000,China)

机构地区：[1]沧州市人民医院新生儿科,河北沧州061000

出　　处：《临床和实验医学杂志》2023年第10期1102-1105,共4页Journal of Clinical and Experimental Medicine

基　　金：2020年沧州市科技计划自筹经费项目(编号:204106031);河北省重点研发计划自筹项目(编号:172777157)。

摘　　要：目的探究口腔运动干预联合腹部按摩在早产儿喂养困难中的应用价值。方法前瞻性选取2020年11月至2021年10月沧州市人民医院收治的喂养困难早产儿80例为研究对象,经随机数字表法分为对照组(n=40)与观察组(n=40),对照组接受常规喂养干预,观察组在对照组基础上给予口腔运动干预联合腹部按摩。统计记录两组干预后早产儿经口喂养过渡时间、住院时间;比较两组口腔运动功能结果、喂养不耐受发生情况;评估两组干预前、干预后3个月的智能发育情况。结果观察组干预后经口喂养过渡时间、住院时间分别为(9.03±1.15)、(32.95±14.82)d,均短于对照组[(11.25±1.29)、(42.38±14.77)d],差异均有统计学意义(P<0.05)。完全经口喂养时,观察组正常维度评分为(14.13±2.04)分,高于对照组[(11.04±1.70)分],障碍维度评分、失调维度评分分别为(8.53±1.82)、(8.23±1.40)分,均低于对照组[(10.46±1.67)、(10.52±1.49)分],差异均有统计学意义(P<0.05)。出院当日,观察组正常维度评分为(17.01±1.82)分,高于对照组[(14.30±1.65)分],障碍维度评分、失调维度评分分别为(6.48±1.34)、(5.05±1.27)分,均低于对照组[(8.70±1.59)、(7.10±1.36)分],差异均有统计学意义(P<0.05)。观察组的喂养不耐受发生率为5.00%,低于对照组(22.50%),差异有统计学意义(P<0.05)。干预后3个月观察组智力发育指数(MDI)评分、精神运动发育指数(PDI)评分分别为(117.46±6.28)、(78.46±2.31)分,均高于对照组[(101.05±7.23)、(70.50±2.16)分],差异均有统计学意义(P<0.05)。结论口腔运动干预联合腹部按摩用于喂养困难早产儿喂养干预中,不仅可改善早产儿喂养困难状态及口腔运动功能,降低喂养不耐受发生率,还能促进早产儿智能发育,缩短住院时间,值得推广。Objective To explore the application value of oral exercise intervention combined with abdominal massage in preterm infants with feeding difficulties.Methods The prospective analysis method was used to select 80 premature infants with feeding difficulties admitted to Cangzhou People's Hospital from November 2020 to October 2021 as the research object.They were randomly divided into the control group(n=40)and the observation group(n=40)according to the random number table method.The control group received routine care.The observation group was given oral exercise intervention combined with abdominal massage on the basis of the control group.The transition time and hospitalization time of premature infants after intervention were statistically recorded;the results of oral motor function and the occurrence of feeding intolerance were compared between the two groups;the intellectual development of two groups of premature infants before and 3 months after intervention was evaluated.Results After intervention,the transition time and hospitalization time of oral feeding in the observation group were(9.03±1.15)and(32.95±14.82)days,respectively,which were shorter than those in the control group[(11.25±1.29)and(42.38±14.77)days],and the differences were statistically significant(P<0.05).In the stage of complete oral feeding,the normal dimension scores of the observation group were(14.13±2.04)points,which were higher than those of the control group[(11.04±1.70)points],the disorder dimension scores and the disorder dimension scores of the observation group were(8.53±1.82)and(8.23±1.40)points,respectively,which were lower than those of the control group[(10.46±1.67)and(10.52±1.49)points],and the differences were statistically significant(P<0.05).On the day of discharge,the normal dimension scores of the observation group was(17.01±1.82)points,which was higher than that of the control group[(14.30±1.65)points],the disorder dimension scores and disorder dimension scores of the observation group were(6.48±1.34)and(5

关 键 词：口腔运动干预 腹部按摩 喂养困难早产儿 喂养困难状态 口腔运动功能 智能发育 

分 类 号：R473.72[医药卫生—护理学]