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代偿性吞咽训练对喂养困难的先天性心脏病新生儿的影响

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目的 探讨代偿性吞咽训练对喂养困难的先天性心脏病新生儿喂养表现和喂养进程的影响。方法 选取 2023年 7 月至 2024 年 4 月在广州市妇女儿童医疗中心柳州医院新生儿重症监护病房(NICU)住院的 62 例先天性心脏病新生儿为研究对象,随机分配到观察组(31 例)和对照组(31 例),对照组给予新生儿口腔运动干预方法,观察组在此基础上给予代偿性吞咽训练,观察两组新生儿喂养表现和喂养进程等指标。结果 干预后观察组喂养表现优于对照组,差异有统计学意义(P<0。05);观察组完成经口喂养目标奶量>50%及>80%干预天数短于对照组,差异有统计学意义(P<0。05);干预后观察组体重、身长、头围均高于对照组,差异有统计学意义(P<0。05);观察组并发症发生率低于对照组,差异有统计学意义(P<0。05)。结论 代偿性吞咽训练可以改善先天性心脏病新生儿喂养表现,加快喂养进程,缩短完全经口喂养时间,促进新生儿生长发育,且安全性较高。
The Impact of Compensatory Swallowing Training on Feeding Difficulties in Neonates with Congenital Heart Disease
Objective To investigate the impact of compensatory swallowing training on feeding performance and feeding progress in neonates with congenital heart disease who have feeding difficulties.Methods A total of 62 neonates with congenital heart disease admitted to the Neonatal Intensive Care Unit(NICU)of Guangzhou Women and Children's medical center Liuzhou hospital from July 2023 to April 2024 were selected as the study subjects.They were randomly assigned to the observation group(31 cases)and the control group(31 cases).The control group received neonatal oral motor intervention methods,while the observation group received compensatory swallowing training in addition to the interventions given to the control group.The feeding performance and feeding progress of the two groups were observed.Results After the intervention,the feeding performance of the observation group was better than that of the control group,with a statistically significant difference(P<0.05).The number of days required for the observation group to achieve more than 50%and more than 80%of the target milk volume through oral feeding was shorter than that of the control group,with a statistically significant difference(P<0.05).After the intervention,the weight,length,and head circumference of the observation group were higher than those of the control group,with a statistically significant difference(P<0.05).The incidence of complications in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).Conclusion Compensatory swallowing training can improve feeding performance in neonates with congenital heart disease,accelerate feeding progress,shorten the time required for complete oral feeding,promote neonatal growth and development,and has a high safety profile.

neonatescongenital heart diseasefeeding difficultiescompensatory swallowing traininggrowth and development

杨风景、张靖、何晓凤、曹苗苗、韦秋梅

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广州市妇女儿童医疗中心柳州医院 康复医学科,广西 柳州 545000

广州市妇女儿童医疗中心柳州医院 儿童康复科,广西 柳州 545000

新生儿 先天性心脏病 喂养困难 代偿性吞咽训练 生长发育

广西壮族自治区卫生健康委自筹经费科研课题

Z-B20232044

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(9)