Effect of three-step prone position on gastrointestinal function of premature infants with low birth weight
Objective To investigate the related effects of three-step prone position on feeding status,gastrointestinal function and growth and development of low birth weight preterm infants.Methods A total of 82 low-birth-weight preterm infants admitted and treated in this hospital from January 2021 to January 2023 were selected as the study subjects.The patients were divided into the observation group(three-step prone position,n=40)and control group(conventional supine position,n=42)according to the feeding body position during hospitalization.The feeding status,length of hospital stay,gastrointestinal complications and growth and development were compared between the two groups.Results Compared with the control group,the time of first time oral feeding beginning in the observation group[(11.63±7.18)d vs.(14.81±6.57)d],the time of oral feeding and then nasal feeding to complete oral feeding[(6.65±2.31)d vs.(8.05±3.45)d],total oral and enteral feeding time[(21.68±9.50)d vs.(25.81±9.21)d]and hospitalization time[(28.68±10.86)d vs.(33.64±10.67)d]all were shorter;the incidence rates of gastroesophageal reflux(7.50%vs.26.19%),gastric retention(10.00%vs.28.57%),vomiting(5.00%vs.21.43%),abdominal distension(5.00%vs.23.81%)]in observation group were lower than those in the control group;the time of recovery to the birth weight was shorter[(7.08±1.33)d vs.(7.83±1.58)d],the daily growth rate of body weight and weekly growth rate of height were greater[(16.45±2.03)g·kg-1·d-1 vs.(15.45±2.35)g·kg-1·d 1,(0.97±0.14)cm/w vs.(0.91±0.11)cm/w],and the differences were statistically significant(P<0.05).Conclusion The three-step prone position could improve the feeding intolerance,shorten the hospitali-zation stay and promote the growth and development of premature infants.
three-step prone positionlow birth weightpremature infantsgastrointestinal functiongrowth and development