吸吮吞咽贯序功能训练对早产儿经口喂养能力的影响研究
Effect of Sequential Function Training of Sucking and Swallowing on Oral Feeding Ability of Preterm Infants
孙士艳 1于秀荣 2吴玉梅 2李成 3王珊珊 4邵方飞2
作者信息
- 1. 滨州医学院 护理学院,山东 滨州 256600;滨州医学院附属医院 新生儿重症监护病房,山东 滨州 256600
- 2. 滨州医学院附属医院 新生儿重症监护病房,山东 滨州 256600
- 3. 滨州职业学院 健康学院,山东 滨州 256600
- 4. 滨州市人民医院 急诊科,山东 滨州 256600
- 折叠
摘要
目的 探讨吸吮吞咽贯序功能训练对早产儿经口喂养能力及进程的影响.方法 选取 2022 年 3 月至 2023 年 4 月山东省某三级甲等医院入住新生儿重症监护病房(neonatal intensive care unit,NICU)的早产儿 135 例为研究对象,采用随机数字表法,将早产儿随机分为吸吮-吞咽组、吸吮组及对照组,每组各 45 例.吸吮-吞咽组早产儿贯序接受 3 min非营养性吸吮和 5 min吞咽功能训练;吸吮组早产儿接受 3 min非营养性吸吮;对照组早产儿接受常规喂养方法.三组早产儿均接受NICU常规护理.结果 吸吮-吞咽组早产儿开始经口喂养第 4、8、10 天的每分钟摄入奶量及进食初 5 min摄入奶量占医嘱奶量的百分比均高于对照组(均P＜0.05),第 8 天及第 10 天高于吸吮组(均P＜0.05);3 组早产儿经口喂养过渡时间差异具有统计学意义(P＜0.05),吸吮-吞咽组早产儿经口喂养过渡时间比对照组缩短近 2.4d.结论 吸吮吞咽贯序功能训练可改善早产儿经口喂养能力,缩短经口喂养过渡时间.
Abstract
Objective To explore the effect of sequential function training of sucking and swallowing on the performance and progress of oral feeding among preterm infants.Methods 135 preterm infants admit-ted to the NICU in a tertiary hospital in Shangdong Province from March 2022 to April 2023 were selected as the research objects.A random number table method was used to divide them into the sucking-swallo-wing group,the sucking group and the control group with 45 infants in each group.The preterm infants in the sucking-swallowing group received 3 minutes of non-nutritive sucking and 5 minutes of swallowing ex-ercise in a sequential manner;the preterm infants in the sucking group received 3 minutes of non-nutritive sucking;and the preterm infants in the control group received the routine feeding.All three groups of pre-term infants received routine care in NICU.Results The feeding efficiency(milk intake per minute)and feeding proficiency(volume taken in 5 min/volume prescribed)of the preterm infants in the sucking-swal-lowing group on Day 4,8 and 10 were better than those in the control group(all P＜0.05),while the feed-ing efficiency and feeding proficiency on Day 8 and 10 were higher than those in the sucking group(all P＜0.05).There was statistically significant difference in the transition time of oral feeding among the three groups(P＜0.05),and the transition time for oral feeding of the sucking-swallowing group was nearly 2.4 days shorter than that in the control group.Conclusions Sequential function training of sucking and swal-lowing can improve the oral feeding ability and shorten the transition time of oral feeding of preterm in-fants.
关键词
早产儿/经口喂养/吸吮吞咽贯序功能训练/非营养性吸吮Key words
preterm infant/oral feeding/sequential function training of sucking and swallowing/non-nutritive sucking引用本文复制引用
基金项目
滨州医学院科研计划与科研启动基金(BY2021KJ49)
出版年
2024
NETL
NSTL
维普
万方数据