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个性化综合干预对早产儿喂养困难疗效观察

1. 1.华中科技大学同济医学院附属协和医院康复医学科,湖北 武汉 430000;
2.华中科技大学同济医学院附属协和医院新生儿科
• 收稿日期:2020-07-13 修回日期:2020-12-10 发布日期:2021-05-26
• 通讯作者: 杨朝辉,E-mail:annyhao430@163.com
• 作者简介:裴亚(1990-),女,湖北人,主管技师,硕士学位,主要研究方向为婴幼儿喂养和言语障碍。

Observation on the curative effect of personalized comprehensive intervention on feeding difficulties of premature infants

PEI Ya*, YANG Zhao-hui, WANG Shuang, WU Yi-pin

1. *Department of Rehabilitation, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430000,China
• Received:2020-07-13 Revised:2020-12-10 Published:2021-05-26
• Contact: YANG Zhao-hui, E-mail:annyhao430@163.com

Abstract: Objective To observe the effect of personalized comprehensive intervention on feeding difficulties in premature infants, so as to provide evidence for effective intervention. Methods A total of 106 premature infants with feeding difficulties admitted to the Department of Neonatal Medicine, Affiliated Union Hospital, Tongji Medical College of Huazhong University of Science and Technology from January 2015 to June 2019, were enrolled in this study.And the infants were divided into control group (n=52) and observation group (n=54) according to whether personalized comprehensive intervention was performed.Both groups received non-nutritive sucking training, while the observation group received personalized comprehensive intervention additionally.The duration of oral transition feeding, the Prepare Infant Oral Feeding Readiness Assessment (PIOFRA) score on the third and the 7th day after treatment, and the number of cases reaching 30 points on the 7th day of treatment were compared between the two groups. Results After treatment, the duration of oral transitional feeding in the observation group was shorter than that in the control group (t=11.282).The PIOFRA score of the observation group was higher than that of the control group on the third day 3 and the 7th day (t=9.561, 9.617).And the number of cases with PIOFRA score ＞30 points on the 7th day after treatment in the observation group was significantly more than that in the control group(χ2=5.270,P＜0.05). Conclusions Personalized comprehensive interventions for preterm infants with feeding difficulties can effectively shorten the duration for oral transitional feeding, improve the ability of preterm infants to prepare oral feeding faster, and reduce the risk of malnutrition.