EENC技术对自然分娩产妇泌乳启动及新生儿行为状态的影响  

Influences of EENC technique on the initiation of lactation in parturient women and the behavioral status of newborns

作　　者：吕海荣 任毓 张青 唐乐 暴蕾 Lyu Hairong;Ren Yu;Zhang Qing;Tang Le;Bao Lei(Department of Obstetrics,Xi'an People's Hospital(Xi'an Fourth Hospital),Xi'an 710004,China)

机构地区：[1]西安市人民医院西安市第四医院产科,西安710004

出　　处：《国际医药卫生导报》2025年第1期154-158,共5页International Medicine and Health Guidance News

基　　金：陕西省重点研发计划(2022SF-341、2022SF-409)。

摘　　要：目的研究新生儿早期基本保健(EENC)技术对顺产产妇泌乳启动、母乳喂养及新生儿早期行为状态的影响。方法采用前瞻性双盲试验,选取2023年1月至10月在西安市人民医院经阴道分娩的800对新生儿与初产妇作为研究对象,采用软件SPSS 24.0对所有入选者随机编码并分为两组,每组400对。观察组产妇年龄(27.4±5.1)岁,孕周(39.1±1.5)周;新生儿男267例,女133例,体重(3268.2±363.7)g,1 min Apgar评分为(9.1±0.8)分,给予EENC技术。对照组产妇年龄(26.9±4.8)岁,孕周(39.0±1.9)周;新生儿男249例,女151例,体重(3287.4±357.2)g,1 min Apgar评分为(9.2±0.8)分,给予传统新生儿保健。比较两组泌乳启动率、首次母乳喂养成功率、不良事件发生率、泌乳启动时间、首次母乳喂养测量工具(BAT)得分、动脉血氧饱和度(SaO2)及新生儿神经行为测定量表(NBNA)评分。采用χ^(2)检验、t检验进行统计分析。结果观察组产妇泌乳启动时间、首次BAT得分、首次母乳喂养持续时间均优于对照组[(1.9±0.4)d比(2.3±0.5)d、(10.7±1.1)分比(10.3±1.0)分、(31.6±6.3)min比(25.9±7.7)min],差异均有统计学意义(t=-12.494、5.381、11.459,均P<0.05);泌乳启动率和首次母乳喂养成功率均高于对照组[95.8%(383/400)比89.8%(359/400)、93.5%(374/400)比89.0%(356/400)],差异均有统计学意义(χ^(2)=10.707、5.072,均P<0.05)。观察组产后24、48、72 h纯母乳喂养率均高于对照组(χ^(2)=8.852、6.199、5.126,均P<0.05)。观察组新生儿出生后1、2、4 h体温均高于对照组,出生后24、48、72 h SaO2水平均高于对照组,差异均有统计学意义(t=13.868、12.804、10.243、32.555、47.361、47.456,均P<0.05)。观察组新生儿1月龄时各维度NBNA评分均高于对照组(均P<0.05)。观察组新生儿住院时间、低体温和高胆红素血症发生率均低于对照组[(3.2±0.3)d比(3.4±0.5)d、0.8%(3/400)比2.8%(11/400)、1.0%(4/400)比4.3%(17/400)],差异均有统计学意义(t=6.860Objective To study the effects of early essential newborn care(EENC)technique on the initiation of lactation,breastfeeding,and early behavioral status of newborns.Methods A total of 800 pairs of newborns and primiparas who delivered vaginally in Xi'an People's Hospital from January 2023 to October 2023 were selected as the research objects and were randomly divided into two groups by SPSS 24.0 software,with 400 pairs in each group.In the control group,the maternal age was(27.4±5.1)years old,and the gestational age was(39.1±1.5)weeks;there were 267 boys and 133 girls,with a body weight of(3268.2±363.7)g and a 1-minute Apgar score of(9.1±0.8)points.In the control group,the maternal age was(26.9±4.8)years old,and the gestational age was(39.0±1.9)weeks;there were 249 boys and 151 girls,with a body weight of(3287.4±357.2)g and a 1-minute Apgar score of(9.2±0.8)points.The observation group was given EENC technique,and the control group was given traditional neonatal health care.The lactation initiation rate,first breastfeeding success rate,adverse event incidence,lactation initiation time,Bristol Breastfeeding Assessment Tool(BAT)score,arterial oxygen saturation(SaO2),and Neonatal Behavioral Neurological Assessment(NBNA)score were compared between the two groups.χ^(2) test and t test were used for statistical analysis.Results The lactation initiation time,the first BAT score,and the duration of first breastfeeding in the observation group were all better than those in the control group[(1.9±0.4)d vs.(2.3±0.5)d,(10.7±1.1)points vs.(10.3±1.0)points,(31.6±6.3)min vs.(25.9±7.7)min],with statistically significant differences(t=-12.494,5.381,and 11.459,all P<0.05).The lactation initiation rate and the success rate of first breastfeeding in the observation group were higher than those in the control group[95.8%(383/400)vs.89.8%(359/400),93.5%(374/400)vs.89.0%(356/400)],with statistically significant differences(χ^(2)=10.707 and 5.072,both P<0.05).The rates of exclusive breastfeeding at postpartum 24,48,and 72

关 键 词：泌乳启动 母乳喂养 新生儿早期基本保健 行为状态 产妇 

分 类 号：R722.1[医药卫生—儿科]