穴位按摩联合口腔免疫疗法对极低出生体重儿经口喂养情况及生长发育的影响  

Effect of acupoint massage combined with oral immune therapy on oral feeding and growth and development of very low birth weight infants

作　　者：张勇[1] 向美芹[1] 李玮桐 赵希平[1] 李娟 Zhang Yong;Xiang Meiqin;Li Weitong;Zhao Xiping;Li Juan(Neonatal Intensive Care Unit,Affiliated Hospital of Jining Medical University,Jining 272100,China)

机构地区：[1]济宁医学院附属医院新生儿监护病房,济宁272100

出　　处：《中国实用护理杂志》2025年第5期361-367,共7页Chinese Journal of Practical Nursing

基　　金：山东省中医药科技发展计划项目(2019-0467)。

摘　　要：目的探讨穴位按摩联合口腔免疫疗法(C-OIT)对极低出生体重儿经口喂养情况及生长发育的影响,为极低出生体重儿的健康生长提供参考。方法采用前瞻性随机对照研究。便利抽样法选择济宁医学院附属医院新生儿重症监护病房2020年1月至2021年12月收治的极低出生体重儿,按照随机数字表法将其分为A组和B组各150例,A组实施常规护理和C-OIT,B组在A组基础上给予穴位按摩,比较2组患儿经口喂养情况、生长发育情况等指标。结果A组和B组最终分别入组150例。A组男78例,女72例,胎龄(30.49±1.57)周,B组男74例,女76例,胎龄(30.61±1.63)周。B组患儿腹胀消失时间(4.35±2.19)d,开始经口喂养时间(4.26±1.02)d,达到完全经口喂养时间(19.03±1.84)d,留置胃管天数(6.27±1.23)d,短于A组的(8.03±2.34)、(8.63±1.74)、(20.49±1.62)、(9.34±1.85)d,差异均有统计学意义(t值为7.29~26.54,均P<0.05)。B组早产儿准备经口喂养评估量表总分(32.49±1.52)分,高于A组的(29.40±3.14)分,差异有统计学意义(t=10.84,P<0.05)。出院时B组患儿体质量差值(0.92±0.10)kg,头围差值(4.31±0.61)cm,身长差值(4.08±0.53)cm,高于A组的(0.81±0.09)kg,(3.47±0.57)cm,(3.81±0.42)cm,差异均有统计学意义(t=10.01、12.32、4.89,均P<0.05)。B组住院时间(30.26±4.91)d,短于A组的(38.54±5.27)d,差异有统计学意义(t=14.08,P<0.05)。结论穴位按摩联合C-OIT可以进一步缩短极低出生体重儿达到经口喂养时间,改善喂养不耐受情况,有望改善极低出生体重儿在早期生命阶段的生长发育情况和生命质量。ObjectiveTo investigate the effect of acupoint massage combined with oral immune therapy(C-OIT)on oral feeding and growth and development of very low birth weight infants,so as to provide reference for healthy growth of very low birth weight infants.MethodsA prospective randomized controlled study was conducted.The very low birth weight infants admitted to the neonatal intensive care unit,Affiliated Hospital of Jining Medical University from January 2020 to December 2021 were selected using the convenience sampling method.They were divided into group A and group B using the random number table method,with 150 cases in each group.Group A received routine nursing and C-OIT.On this basis,group B received acupoint massage.Oral feeding,growth and development,and other indexes were compared between the two groups.ResultsFinally,150 cases were included in group A and group B,respectively.In group A,there were 78 male cases and 72 female cases,with gestational age of(30.49±1.57)weeks.In group B,there were 74 male cases and 76 female cases,with gestational age of(30.61±1.63)weeks.The time for abdominal distension to disappear,time to oral feeding initiation,time to full oral feeding and gastric tube indwelling time in group B[(4.35±2.19),(4.26±1.02),(19.03±1.84),(6.27±1.23)d]were shorter than those in group A[(8.03±2.34),(8.63±1.74),(20.49±1.62),(9.34±1.85)d],and the differences were statistically significant(t values were 7.29-26.54,all P<0.05).The total score of the Preterm Oral Feeding Readiness Scale in group B(32.49±1.52)was higher than that in group A(29.40±3.14),and the difference was statistically significant(t=10.84,P<0.05).At discharge,the difference values of weight,head circumference and height of group B[(0.92±0.10)kg,(4.31±0.61)cm and(4.08±0.53)cm]were higher than those of group A[(0.81±0.09)kg,(3.47±0.57)cm and(3.81±0.42)cm],and the differences were statistically significant(t=10.01,12.32,4.89,all P<0.05).The length of hospitalization in group B(30.26±4.91)d was shorter than that in group

关 键 词：婴儿 极低出生体重 穴位按摩 口腔免疫疗法 经口喂养 生长发育 

分 类 号：R47[医药卫生—护理学]