非营养性吸吮联合腹部抚触对极低出生体质量儿喂养不耐受的影响分析  

Effect of Non-nutritive Sucking Combined with Abdominal Stroking on Feeding Intolerance in Very Low Birth Weight Infants

作　　者：孟霞 Meng Xia(Department of Neonatology,Tai'an Maternal and Child Health Hospital,Tai'an 271000,Shandong Province,China)

机构地区：[1]泰安市妇幼保健院新生儿科,山东泰安271000

出　　处：《中国社区医师》2024年第23期110-112,共3页Chinese Community Doctors

摘　　要：目的:分析非营养性吸吮联合腹部抚触对极低出生体质量儿喂养不耐受的影响。方法:选取2021年10月—2023年4月泰安市妇幼保健院收治的极低出生体质量儿76例作为研究对象,随机分为观察组和对照组,各38例。对照组给予常规喂养护理,观察组给予非营养性吮吸联合腹部抚触护理。比较两组极低出生体质量儿喂养状况、喂养不耐受症状改善时间、并发症发生率和体格发育情况。结果:观察组每日摄奶量大于对照组,每日残余奶量小于对照组,每日睡眠时间长于对照组,鼻胃管留置时间、恢复出生体质量时间、达全肠道喂养时间、住院时间短于对照组,观察组呕吐、腹胀、胃潴留等症状改善时间均短于对照组,差异有统计学意义(P<0.001)。观察组坏死性小肠结肠炎(NEC)、动力性肠梗阻、肠黏膜萎缩、胆汁淤积等并发症发生率低于对照组,差异有统计学意义(P<0.05)。干预前,两组患儿体格发育情况比较,差异无统计学意义(P>0.05);干预第3周后,观察组体质量、身长、头围增长量均大于对照组,差异有统计学意义(P<0.05)。结论:非营养性吸吮联合腹部抚触可显著改善极低出生体质量儿新生儿的喂养不耐受情况,改善其喂养效果,降低其NEC、动力性肠梗阻、肠黏膜萎缩、胆汁淤积等并发症发生率,促进其体格生长。Objective:To analyze the effects of non-nutritive sucking combined with abdominal stroking on feeding intolerance of very low birth weight infants.Methods:A total of seventy-six infants with very low birth weight treated in Tai'an Maternal and Child Health Hospital from October 2021 to April 2023 were selected as the study objects and randomly divided into observation group and control group,with thirty-eight cases in each group.The control group was given routine feeding care,and the observation group was given non-nutritive sucking combined with abdominal touch care.The feeding status,improvement time of feeding intolerance,incidence of complications and physical development of very low birth weight infants were compared between the two groups.Results:The daily milk intake of the observation group was higher than that of the control group,the daily residual milk intake was lower than that of the control group,and the daily sleep time was longer than that of the control group,nasogastric tube retention time,birth weight recovery time,full intestinal feeding time and hospitalization time were shorter than control group,the improvement time of vomiting,abdominal distension and gastric retention in the observation group was shorter than that in the control group,the difference was statistically significant(P<0.001);the incidence of necrotizing enterocolitis(NEC),dynamic intestinal obstruction,intestinal mucosa atrophy,cholestasis and other complications in observation group was lower than that in control group,the difference was statistically significant(P<0.05);before intervention,there was no significant difference in physical development between the two groups(P>0.05);after the 3rd week of intervention,the increase of body mass,body length and head circumference in the observation group was greater than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Non-nutritional sucking combined with abdominal stroking can significantly improve the feeding intolerance of infants

关 键 词：非营养性吸吮 腹部抚触 极低出生体质量儿 喂养不耐受 生长发育 

分 类 号：R722.6[医药卫生—儿科]