摘要
目的探讨口腔刺激干预对先天性肠闭锁患儿术后经口喂养能力和生长发育的影响。方法选择2017年1月至2019年1月湖南省儿童医院收治80例先天性肠闭锁患儿,按照随机数字表法分为口腔刺激组和对照组各40例。对照组给予常规术后护理,口腔刺激组在对照组基础上进行为期14 d的口腔刺激干预。随访6个月,比较2组患儿经口喂养能力以及体质量、身长和头围等生长发育指标。结果口腔刺激组完全经口喂养时完全经口喂养时喂养效率、完全经口喂养时进奶5 min摄入奶量占医嘱奶量百分比、完全经口喂养时间分别为(10.48±2.96)ml/min、(90.02±8.36)%、(15.06±2.99)d,对照组分别为(8.18±2.44)ml/min、(72.58±9.46)%、(18.08±4.98)d,差异有统计学意义(t值为3.633、8.316、3.106,P<0.01)。干预第7天、第14天口腔刺激组非营养性吮吸评分为(52.24±8.89)、(69.81±12.94)分,明显高于对照组的(48.08±6.72)、(63.09±11.73)分,差异有统计学意义(t值为2.265、2.327,P<0.05)。干预3个月、6个月口腔刺激组体质量为(6234.21±560.25)、(7630.19±782.25)g,明显高于对照组的(5916.89±462.40)、(7293.65±979.98)g,差异有统计学意义(t值为2.648、2.148,P<0.05)。干预6个月口腔刺激组头围为(43.81±5.59)cm,明显高于对照组的(40.85±3.73)cm,差异有统计学意义(t值为2.635,P<0.05)。结论口腔刺激干预可提高先天性肠闭锁患儿术后经口喂养能力,促进患儿生长发育。
Objective To explore the effect of oral motor intervention on oral feeding ability and growth of neonates with intestinal atresia.Methods A total of 80 intestinal atresia neonates in the Hunan Children`s Hospital from January 2017 to January 2019 were admitted to the present study.Neonates were randomly assigned to oral motor group and control group according to the random number table.The control group received routine nursing,while the oral motor group carried out oral motor intervention for 14 consecutive days.Both groups were followed up for six months.The oral feeding ability and growth index such as body weight,body length and head circumference were compared between two groups.Results The complete oral feeding rate transfer,complete oral feeding rate transfer,time to complete oral feeding were(10.48±2.96)ml/min,(90.02±8.36)%,(15.06±2.99)days in the oral motor group,those index were(8.18±2.44)ml/min,(72.58±9.46)%,(18.08±4.98)days in the control group,the differences were statistically significant(t values were 3.633,8.316,3.106,P<0.01).After 7,14 days of intervention,the non-nutritive sucking scores were(52.24±8.89)points,(69.81±12.94)points in the oral motor group,significantly higher than(48.08±6.72)points,(63.09±11.73)points in the control group,the differences were statistically significant(t values were 2.265,2.327,P<0.05).After 3,6 months of intervention,the levels of body weight were(6234.21±560.25)g,(7630.19±782.25)g,significantly higher than(5916.89±462.40)g,(7293.65±979.98)g in the control group,the differences were statistically significant(t values were 2.648,2.148,P<0.05).After 6 months of intervention,the levels of head circumference were(43.81±5.59)cm in the oral motor group,significantly higher than(40.85±3.73)cm in the control group,the difference was statistically significant(t value was 2.635,P<0.05).Conclusion Oral motor intervention can promote oral feeding ability and improve growth performance of neonates with intestinal atresia.
作者
徐晓丽
阳惠
何秀云
何英英
伍志慧
Xu Xiaoli;Yang Hui;He Xiuyun;He Yingying;Wu Zhihui(Department of Fetal and Neonatal Surgery,Hu′nan Children′s Hospital,Changsha 410007,China)
出处
《中国实用护理杂志》
2020年第14期1041-1046,共6页
Chinese Journal of Practical Nursing
基金
湖南省卫生健康委2020年科研项目(20200677)。
