初乳口腔按摩配合非营养性吸吮干预对早产儿喂养耐受性、生长发育指标的影响研究  

Study on effect of colostrum oral massage combined with non-nutritive sucking intervention on feeding tolerance and growth and development indicators in premature infants

作　　者：吕巧玲 蒋春梅 金秋娴 LYU Qiao-ling;JIANG Chun-mei;JIN Qiu-xian(Department of Pediatrics,Zhongshan Hospital Affiliated to Xiamen University,Xiamen 361004,China)

机构地区：[1]厦门大学附属中山医院儿科,361004

出　　处：《中国现代药物应用》2024年第11期169-172,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨针对早产儿实施初乳口腔按摩+非营养性吸吮干预的效果。方法选择50例早产儿,按随机数字表法分为观察组和对照组,各25例。对照组实施常规护理,观察组实施初乳口腔按摩配合非营养性吸吮干预。比较两组喂养耐受性评分、生长发育指标、神经发育情况及家属满意度。结果两组护理前喂养耐受性评分相比无统计学差异(P>0.05);两组护理后喂养耐受性评分均高于护理前,观察组护理后喂养耐受性评分(21.26±3.08)分高于对照组的(15.65±2.71)分(P<0.05)。两组护理前体质量、头围、身长相比无统计学差异(P>0.05);观察组护理后体质量(2083.79±30.30)g、头围(33.45±1.52)cm、身长(47.18±2.90)cm均大于对照组的(1890.68±28.25)g、(31.36±1.48)cm、(45.06±2.85)cm(P<0.05)。两组护理前新生儿神经行为测定评分法(NBNA)主动肌张力、被动肌张力、行为能力、原始反射、一般状况评分相比无统计学差异(P>0.05);观察组护理后NBNA主动肌张力、被动肌张力、行为能力、原始反射、一般状况评分分别为(6.12±0.75)、(5.79±0.89)、(10.29±1.25)、(4.52±0.52)、(4.97±0.60)分,均高于对照组的(5.48±0.79)、(5.06±0.81)、(8.79±1.12)、(3.97±0.48)、(4.02±0.53)分(P<0.05)。观察组家属满意度92.00%高于对照组的68.00%(P<0.05)。结论初乳口腔按摩配合非营养性吸吮干预在早产儿中具有较好的应用效果,利于提升其喂养耐受性,促进生长发育,家属满意度较高。Objective To explore the effect of colostrum oral massage combined with non-nutritive sucking intervention in premature infants.Methods 50 premature infants were divided into an observation group and a control group using a random number table method,each with 25 cases.The control group received routine nursing care,while the observation group received colostrum oral massage combined with non-nutritive sucking intervention.The feeding tolerance score,growth and development indicators,neurological development,and family satisfaction were compared between two groups.Results Before nursing,there was no significant differences in feeding tolerance scores between the two groups(P>0.05).After nursing,the feeding tolerance score in both groups was higher than that before nursing,and the observation group had higher feeding tolerance score of(21.26±3.08)points than(15.65±2.71)points in the control group(P<0.05).Before nursing,there were no significant differences in body weight,head circumference and body length between the two groups(P>0.05).After nursing,the body weight of the observation group was(2083.79±30.30)g,the head circumference was(33.45±1.52)cm and the body length was(47.18±2.90)cm,which were higher than(1890.68±28.25)g,(31.36±1.48)cm and(45.06±2.85)cm of the control group(P<0.05).Before nursing,there was no statistical difference between the two groups in terms of neonatal behavioral neurological assessment(NBNA)scores of active muscle tone,passive muscle tone,behavioral ability,primitive reflexes,and general condition(P>0.05).After nursing,the NBNA scores of active muscle tone,passive muscle tone,behavioral ability,primitive reflexes,and general condition of the observation group were(6.12±0.75),(5.79±0.89),(10.29±1.25),(4.52±0.52),and(4.97±0.60)points,which were higher than(5.48±0.79),(5.06±0.81),(8.79±1.12),(3.97±0.48),and(4.02±0.53)points of the control group(P<0.05).The family satisfaction in the observation group was 92.00%,which was higher than 68.00%in the control group(P<0.05).Conc

关 键 词：早产儿 初乳口腔按摩 非营养性吸吮 喂养耐受性 生长发育指标 家属满意度 

分 类 号：R473.72[医药卫生—护理学]