Effects of Acupoint Stimulation Combined with Early Oral Motor Intervention in Premature Infants with Oral Feeding Difficulties
Objective:To explore the effects of acupoint stimulation combined with early oral motor intervention on sucking skills and growth in premature infants with oral feeding difficulties.Methods:A total of 120 premature infants with oral feeding difficulties who were admitted from September 1,2020 to June 30,2021 were divided into control group and observation group according to the random number table method,with 60 cases in each group.The control group received routine care,while the observation group received acupoint stimula-tion combined with early oral exercise intervention on the basis of routine care until the premature infants were fully fed orally.The oral feeding ability using the preterm infant oral feeding readiness assessment(PIOFRA),changes in suction function using the neonatal oral-motor assessment scale(NOMAS),the progress of oral feeding,weight gain,and neurological development were compared between two groups at different times.Results:After intervention,the gestational age correction,oral posture,oral reflex,behavioral status,and non-nutri-tive sucking scores in both groups of PIOFRA were higher than those before intervention(P<0.05),and the scores of observation group was higher than those of the control group(P<0.05,P<0.01).When fully fed orally(T2),the observation group had lower scores for nor-mal,dysfunctional,and dysfunctional types than the control group(P<0.05,P<0.01).The observation group had a shorter complete oral feeding time than the control group(P<0.01),and the proportion of daily milk intake and feeding efficiency were higher than those of the control group(P<0.01).The weight gain during hospitalization in the observation group was higher than that in the control group(P<0.01).At the age of 6 months,the proportion of cases with normal neurological development in the observation group was higher than that in the control group(P<0.05),while the proportion of cases with abnormal development was lower than that in the control group(P<0.05).Conclusion:Acupoint stimulation combined with early oral motor intervention can enhance the oral feeding ability and sucking func-tion and improve the process and efficiency of oral feeding in premature infants with oral feeding difficulties,and it is beneficial to the weight gain and neuromotor system development in premature infants.
Acupoint stimulationOral motor interventionOral feeding difficultiesPremature infantsSucking skillsGrowth and de-velopment
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