吞咽功能训练对NICU早产儿经口喂养的干预效果分析

doi:10.11852/zgetbjzz2016-24-02-04

中国儿童保健杂志 ›› 2016, Vol. 24 ›› Issue (2): 123-126.DOI: 10.11852/zgetbjzz2016-24-02-04

吞咽功能训练对NICU早产儿经口喂养的干预效果分析

马丹¹,刘小芹¹,王华²,罗蓉¹,王秋¹,李娜¹

四川大学华西第二医院儿科教研室1 小儿神经康复科;
2 新生儿科,四川成都 610041

收稿日期:2015-08-31 发布日期:2016-02-01 出版日期:2016-02-01
通讯作者: 王华,E-mail:duanwanghua@sina.com
作者简介:马丹(1984-),男,康复医师,硕士学位,研究方向为小儿神经发育与康复治疗。

Effect of swallowing function training on oral feeding of preterm infants in NICU

MA Dan¹,LIU Xiao-qin¹,WANG Hua²,LUO Rong¹,WANG Qiu¹,LI Na¹

1 Department of Pediatric Neurological Rehabilitation;
2 Neonatal Department,Teaching and Research Office of Pediatric West China Second Hospital,Sichuan University,Chengdu,Sichuan 610041,China

Received:2015-08-31 Online:2016-02-01 Published:2016-02-01
Contact: WANG Hua,E-mail:duanwanghua@sina.com

摘要/Abstract

摘要： 目的研究吞咽功能训练对早产儿经口喂养表现的影响,为NICU早产儿喂养的改善提供临床依据。方法按照简单随机化分组的方法,将140例早产儿随机分为2组,流失后最终干预组65例,对照组69例,干预组每天接受1次吞咽功能训练,直至其停止管饲喂养。对照组接受NICU常规护理,包括间歇喂养、体位支持等。记录两组达到开始经口喂养和完全经口喂养时的纠正胎龄,并在这两个时间点观察喂养效率,记录每天体重,计算体重增长速度。结果干预组完全经口喂养时的纠正胎龄和体重明显小于对照组,差异均有统计学意义(P<0.05)。从开始经口喂养到完全经口喂养的过渡时间两组比较,干预组明显短于对照组,差异有统计学意义(P<0.05)。干预组开始经口喂养时的喂养效率明显高于对照组,差异有统计学意义(P<0.05)。两组在体重增长速度、住院时间等方面没有明显差别。结论早期进行吞咽功能训练有助于早产儿经口喂养状况的改善。

关键词: 早产儿, 经口喂养, 吞咽功能训练

Abstract: Objective To explore the effectiveness of swallowing function training on oral feeding performances in premature infants. Methods According to the simple randomized grouping method,140 cases of premature infants were divided into 2 groups,65 cases in the loss of final intervention group,and 69 cases in control group,the intervention group received swallowing function training every day,until stopping tube feeding.The control group received NICU routine nursing care,including intermittent feeding,support position,etc.The postmenstrual age(PMA)of the two groups were recorded when started oral feeding and completely oral feeding.Moreover,feed efficiency was observed at the two time points,weight was recorded every day,weight growth rate was calculated. Results The PMA and weight of the intervention group which through oral feeding completely were significantly less than those of the control group,the difference was statistically significant (P<0.05).Compared the transition time of the two groups from the initiation of oral feeding to full oral feeding,the intervention group's use time was shorter than that of the control group obviously,the difference was statistically significant (P<0.05).The feeding efficiency in the intervention group was significantly higher than that of the control group (P<0.05).The difference was statistically significant (P<0.05).There were no significant differences in the length of hospital stay and weight gain rate between the two groups. Conclusion Early swallowing function training is beneficial for the oral feeding in preterm infant.

Key words: preterm infant, oral feeding, swallowing function training

中图分类号:

R179

马丹,刘小芹,王华,罗蓉,王秋,李娜. 吞咽功能训练对NICU早产儿经口喂养的干预效果分析[J]. 中国儿童保健杂志, 2016, 24(2): 123-126.

MA Dan,LIU Xiao-qin,WANG Hua,LUO Rong,WANG Qiu,LI Na. Effect of swallowing function training on oral feeding of preterm infants in NICU[J]. journal1, 2016, 24(2): 123-126.

参考文献

[1] Lau C.Development of suck and swallow mechanisms in infants[J].Ann Nutr Metab,2015,66(5):7-14.
[2] White-Traut R,Pham T,Rankin K,et al.Exploring factors related to oral feeding progression in premature infants[J].Adv Neonatal Care,2013,13(4):288-294.
[3] Fucile S,Gisel E,Lau C.Oral stimulation accelerates the transition from tube to oral feeding in preterm infants[J].J Pediatrics,2002,141(2):230-236.
[4] 吕天婵,张玉侠,胡晓静,等.早期口腔运动干预方案改善早产儿经口喂养的效果评价[J].中华护理杂志,2013,48(2):101-105.
[5] Zhang Y,Lyu T,Hu X,et al.Effect of nonnutritive sucking and oral stimulation on feeding performance in preterm infants:a randomized controlled trial[J].Pediatr Crit Care Med,2014,15(7):608-614.
[6] Medoff Cooper B,Rankin K,Li Z,et al.Multisensory intervention for preterm infants improves sucking organization[J].Adv Neonatal Care,2015,15 (2):142-149.
[7] Crapnell TL,Rogers CE,Neil JJ,et al.Factors associated with feeding difficulties in the very preterm infant[J].Acta Paediatr,2013,102(12):539-545.
[8] Fucile S,Gisel EG,McFarland DH,et al.Oral and non-oral sensorimotor interventions enhance oral feeding performance in preterm infants[J].Dev Medicine Child Neurology,2011,53(9):829-835.
[9] 陈喻萍,陈丹,洪维,等.口腔按摩联合口腔支持对极低出生体重早产儿喂养结局的影响[J].护理学杂志,2013,28(3):35-38.
[10] Park J,Knaf G,Thoyre S,et al.Factors associated with feeding progression in extremely preterm infants[J].Nurs Res,2015,64(3):159-167.
[11] Neiva FC,Leone CR,Leone C,et al.Non-nutritive sucking evaluation in preterm newborns and the start of oral feeding:a multicenter study[J].Clinics (Sao Paulo),2014,69(6):393-397.
[12] Bache M,Pizon E,Jacobs J,et al.Effects of pre-feeding oral stimulation on oral feeding in preterm infants:a randomized clinical trial[J].Early Hum Dev,2014,90(3):125-129.
[13] Lima AH,Crtes MG,Bouzada MC,et al.Preterm newborn readiness for oral feeding:systematic review and meta-analysis[J].Codas,2015,27(1):101-107.
[14] Capilouto GJ,Cunningham T,Frederick E,et al.Comparison of tongue muscle characteristics of preterm and full term infants during nutritive and nonnutritive sucking[J].Infant Behav Dev,2014,37(3):435-445.
[15] Gennattasio A,Perri EA,Baranek D,et al.Oral feeding readiness assessment in premature infants[J].Am J Matern Child Nurs,2015,40(2):96-104.

吞咽功能训练对NICU早产儿经口喂养的干预效果分析

Effect of swallowing function training on oral feeding of preterm infants in NICU

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	张丹, 张军, 杨钰荣, 曹咪, 闫敬敏, 朱璐阳. 肠道菌群与早产儿脑发育及神经认知行为关系的研究[J]. 中国儿童保健杂志, 2023, 31(7): 756-759.
[2]	冯骁, 陈凌, 赵红缨, 黄蕊, 林辰曦, 庄丽娟. 不同脐带挤压方式对极早产儿结局的影响[J]. 中国儿童保健杂志, 2023, 31(7): 794-798.
[3]	郑亭玉, 张春宇, 杨飞, 郑芳, 张梦霞, 夏露萍, 徐孙超. 营养支持小组管理模式对早产儿生长发育及免疫功能的影响[J]. 中国儿童保健杂志, 2023, 31(5): 555-558.
[4]	夏正龙, 宋燕燕. 支气管肺发育不良早产儿神经发育研究[J]. 中国儿童保健杂志, 2023, 31(4): 390-394.
[5]	李静兰, 孙文强, 朱雪萍. 早产儿支气管肺发育不良相关预测模型研究[J]. 中国儿童保健杂志, 2023, 31(4): 395-398.
[6]	王娜, 李晓莺. 早产儿神经发育评估的进展[J]. 中国儿童保健杂志, 2023, 31(4): 404-407.
[7]	任力, 黑明燕, 齐宇洁, 靳绯, 翁景文, 董世霄, 沈艳华, 姜敏. 早产儿喂养对坏死性小肠结肠炎发病的影响[J]. 中国儿童保健杂志, 2023, 31(4): 438-441.
[8]	陈峰, 张宇. 多胞胎和单胞胎早产儿神经发育的回顾性研究[J]. 中国儿童保健杂志, 2023, 31(4): 451-456.
[9]	王晶, 项思嘉, 鲁莹, 杨蕾, 胡小沙, 钱君, 池霞, 张敏. 早产儿3周岁体格生长及体成分分析[J]. 中国儿童保健杂志, 2023, 31(4): 457-460.
[10]	郑水英, 罗艳赟. 早产儿喂养不耐受的临床表现及相关影响因素[J]. 中国儿童保健杂志, 2023, 31(4): 461-464.
[11]	曹冰冰, 林多华, 杜佩珍, 颜陶, 程建婷. 多种实验室指标和炎性因子表达水平与新生儿神经发育的相关性研究[J]. 中国儿童保健杂志, 2023, 31(2): 205-209.
[12]	何小颖, 吴翠玲, 曾玲艳, 綦美姣, 孙亚莲. 早产儿食物转换对血清营养素水平的影响[J]. 中国儿童保健杂志, 2023, 31(1): 81-85.
[13]	王慧冉, 罗荣, 胡文玲. 2019年3所妇幼保健院早产儿视网膜病变筛查及随访分析[J]. 中国儿童保健杂志, 2023, 31(1): 105-108.
[14]	和娇吉, 刘孝美, 唐孟言, 罗红, 杨速飞, 彭文涛. 基于AIMS分析早产儿运动发育现状及影响因素[J]. 中国儿童保健杂志, 2022, 30(7): 779-782.
[15]	王成群, 徐海青, 汪鸿, 袁利, 周爱琴, 李明惠. 医护教家相结合养育照护促进高危早产儿发育的研究[J]. 中国儿童保健杂志, 2022, 30(6): 607-611.