Abstract: Objective To analyze the effects of chiropractic therapy on feeding intolerance in very preterm infants. Methods Very preterm infants with gestation age less than 32 weeks with feeding intolerance form intensive care unit of pediatrics department in Beijing Friendship Hospital were randomly divided into two groups from Jan.1st,2016 to Mar.31th 2017:chiropractic therapy group and regular therapy group.Each group was 20 preterm infants and all with early minimal enteral feeding.There was no significance in gestation age,birth weight and sex among two group. Results Compared with regular treatment,duration of feeding intolerance,average day of reaching enteral feeding and average day in hospoital became shorten after chiropractic therapy,and the difference was significant (P<0.05).There was no significant difference for treatment effectiveness (P=0.051)although clinical symptoms improved,such as vomiting and abdominal distension,milk volume,improved after chiropractic therapy. Conclusions Chiropractic therapy is safe for very preterm infants with feeding intolerance.Chiropractic therapy can rapidly relief clinical symptoms and promote growth and development.

Key words: feeding intolerance, chiropractic therapy, preterm infant

摘要： 目的 分析捏脊对极早产儿喂养不耐受的影响。方法 选取2016年1月1日-2017年3月31日首都医科大学附属北京友谊医院新生儿重症监护室住院的胎龄<32周的极早产儿40例,随机分为常规治疗组和捏脊干预组,每组各20例,两组均给予早期微量喂养。结果 给予捏脊干预后,喂养不耐受持续时间较常规治疗组明显缩短,达到完全胃肠内喂养平均时间及平均住院天数较常规治疗组相比明显缩短,差异有统计学意义(P<0.05)。给予捏脊干预后,喂养不耐受症状如呕吐、腹胀很快消失,纳奶量增加,但两组治疗效果相比,差异无统计学意义(P=0.051)。结论 捏脊辅助治疗极早产儿喂养不耐受安全、无害,可以快速缓解临床症状,促进生长发育。

关键词: 喂养不耐受, 捏脊, 早产儿