摘要
目的 探讨非营养性吮吸、穴位式面部口腔刺激联合非营养性吮吸的不同口腔运动方案对早产儿经口喂养的效果.方法 按照随机分组法,将164例早产儿分为3组,其中对照组（A组）53例,接受常规的喂养护理;非营养性吸吮组（B组）54例,在喂养前、喂养后各进行一次3 min的非营养性吸吮,每日8次;穴位式面部口腔刺激联合非营养性吮吸组（C组）57例,在喂养前给予穴位式面部口腔刺激17 min和3 min的非营养性吸吮,每日2次.结果 B组、C组从鼻饲喂养到完全经口喂养过渡时间差异无统计学意义（P〉0.05）,但均短于A组,差异具有统计学意义（P〈0.05）;开始经口喂养时及达到完全经口喂养时C组的喂养表现优于其他2组,差异有统计学意义（P〈0.05）.A组和B组的喂养表现在经口喂养开始时差异有统计学意义（P〈0.05）,但达到全经口喂养时差异均无统计学意义（P〉0.05）.结论 口腔运动干预方案中,非营养性吸吮组和穴位式面部口腔刺激联合非营养性吮吸均能让早产儿缩短进入完全经口喂养所需要的时间,穴位式面部口腔刺激联合非营养性吸吮在喂养表现更优于单纯非营养性吸吮.
Objective To compare the effects of different oral motor interventions,including non-nutritive sucking （NNS） and acupuncture point stimulation of oral and cheek combined with NNS,on oral feeding of prematures.Methods A total of 164 prematures were randomly divided into three groups. Group A （n=53） received routine feeding nursing care;Group B （n=54） were given non-nutritive sucking for 3 minutes before and after feeding,with 8 times per day;Group C （n=57） were given acupuncture point stimulation of oral and cheek for 17 minutes and non-nutritive sucking for 3 minutes before feeding,with twice per day.Results There was no significant difference between group B and C on the transitional time from the initiation of oral feeding to full oral feeding （P〉0.05）. Transitional time of both groups were significant shorter than that of group A （P〈0.05）. Feeding performance of prematures from the initiation of oral feeding to full oral feeding in group C was significant better than group A and B （P〈0.05）. There was significant difference in the feeding performance of prematures at the initiation of oral feeding between A and B group （P〈0.05）,but no significant differences between two groups after full oral feeding （P〉0.05）.Conclusions Different oral motor interventions including NNS and acupuncture point stimulation of oral and cheek combined with NNS can reduce the time of achieving full oral feeding in prematures. Acupuncture point stimulation of oral and cheek combined with NNS performs better than only NNS on feeding in prematures.
出处
《中华现代护理杂志》
2017年第3期372-376,共5页
Chinese Journal of Modern Nursing
基金
温州市科技局课题（Y20140180）
关键词
护理
婴儿
早产
非营养性吸吮
口腔刺激
穴位
经口喂养
Nursing
Infants
premature
Non-nutritive sucking
Oral stimulation
Acupuncture point
Oral feeding
