首页|基于前馈控制的母乳口腔护理结合发展性照顾预防早产儿喂养不耐受的效果及对生长发育、内环境的影响

基于前馈控制的母乳口腔护理结合发展性照顾预防早产儿喂养不耐受的效果及对生长发育、内环境的影响

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目的 探讨基于前馈控制的母乳口腔护理结合发展性照顾预防早产儿喂养不耐受的效果及对生长发育、内环境的影响。方法 选取2020 年 1 月至 2022 年 1 月我院收治的280 例早产儿为研究对象,根据护理方法的不同将其分为对照组和观察组,各 140 例。对照组施以常规护理,观察组在常规护理基础上施以基于前馈控制的母乳口腔护理结合发展性照顾。比较两组的干预效果。结果 观察组的开始母乳喂养时间、达全肠道营养时间、恢复正常体重时间及住院时间短于对照组,喂养不耐受发生率低于对照组,差异具有统计学意义(P<0。05)。干预后,观察组的头围、身长、体重及Peabody运动发育量表各维度评分高于对照组,差异具有统计学意义(P<0。05)。干预后,观察组的钙(Ca)水平高于对照组,碱性磷酸酶(ALP)水平低于对照组,差异具有统计学意义(P<0。05)。结论 基于前馈控制的母乳口腔护理结合发展性照顾干预有助于提高早产儿喂养不耐受的预防效果,促进生长发育,改善内环境,值得推广。
Effect of breast milk oral care based on feedforward control combined with developmental care on the prevention of feeding intolerance in premature infants and its influences on growth and development and internal environment
Objective To explore the effect of breast milk oral care based on feedforward control combined with developmental care on the prevention of feeding intolerance in premature infants and its influences on growth and development and internal environment.Methods A total of 280 premature infants admitted in our hospital from January 2020 to January 2022 were selected as the research objects.According to different nursing methods,the premature infants were divided into control group and observation group,with 140 cases in each group.The control group was given routine nursing,and the observation group was given breast milk oral care based on feedforward control combined with developmental care on the basis of routine nursing.The intervention effects of the two groups were compared.Results The time of starting breastfeeding,the time of reaching total intestinal nutrition,the time of returning to normal weight and the hospitalization time in the observation group were shorter than those in the control group,and the incidence of feeding intolerance was lower than that in the control group,the differences were statistically significant(P<0.05).After intervention,the head circumference,body length,weight and the scores of each dimension of Peabody motor development scale of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the level of calcium(Ca)in the observation group was higher than that in the control group,and the level of alkaline phosphatase(ALP)was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Breast milk oral care based on feedforward control combined with developmental care intervention can help improve the preventive effect of feeding intolerance in premature infants,promote growth and development and improve the internal environment,which is worthy of promotion.

breast milk oral care based on feedforward controldevelopmental carepremature infantfeeding intolerancegrowth and developmentinternal environment

朱训、张新雯

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安康市中心医院,陕西 安康,725000

基于前馈控制的母乳口腔护理 发展性照顾 早产儿 喂养不耐受 生长发育 内环境

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(3)
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