摘要
目的探讨改良口腔运动干预对早产儿经口喂养能力及结局的影响。方法选取2018年5月—2020年7月在南阳市中心医院NICU住院的146例早产儿为研究对象,采用随机数字表法分为研究组和对照组,每组73例。对照组接受常规治疗及发育支持干预,研究组采用改良早产儿口腔运动干预,干预至可完全经口喂养为止。观察2组患儿经口喂养能力、喂养进程及表现,以及不良反应发生情况。结果干预当天,2组早产儿准备经口喂养评估量表(PIOFRA Scale-CV)得分差异无统计学意义(P>0.05),随着干预时间的延长,2组PIOFRA Scale-CV得分呈现上升趋势,组间比较差异有统计学意义(F组间=14.297,P组间<0.001)。2组静脉营养时间、开始经口喂养成效组间差异无统计学意义(均P>0.05),全经口喂养过渡时间、开始经口喂养效率、完全经口喂养效率、完全经口喂养成效、完全经口喂养时体重组间差异均有统计学意义(均P<0.05)。研究组不良反应总发生率为18.31%,对照组为29.17%,差异无统计学意义(χ^(2)=2.325,P=0.127),其中研究组血氧饱和度下降和疲乏单种不良反应发生率低于对照组,差异有统计学意义(均P<0.05)。结论改良早产儿口腔运动干预可提高早产儿经口喂养能力,缩短全经口喂养过渡时间,提升喂养效率,减少血氧饱和度下降及疲乏不良反应发生率。
Objective To explore the effect of modified oral exercise intervention on oral feeding ability and outcome of premature infants.Methods A total of 146 premature infants who were hospitalised in the Neonatal Intensive Care Unit(NICU)of Nanyang Central Hospital from May 2018 to July 2020 were selected as research objects.The infants were divided into study and control groups using a random-number table method,with 73 cases in each group.The control group received conventional treatment,and for developmental support intervention,a modified oral exercise intervention was adopted for premature infants in the study group until the intervention can be a complete oral feeding.The oral feeding ability,feeding process and performance of the two groups of children and the occurrence of adverse reactions were observed.Results On the day of intervention,no significant difference was observed in the scores in the Chinese version of preterm infant oral feeding readiness assessment scale(PIOFRA Scale-CV)between the two groups of preterm infants(P>0.05).With the extension of intervention period,the PIOFRA Scale-CV scores of the two groups showed an upward trend.The differences between groups were statistically significant(Fbetween group=14.297,Pbetween group<0.001).No statistically significant difference was noticed between the intravenous nutrition time and the effectiveness of oral feeding(all P>0.05).The transition time of complete oral feeding,efficiency of starting oral feeding,efficiency of complete oral feeding,and the weight at the time of complete oral feeding were statistically significant(both P<0.05).The total incidence of adverse reactions reached 18.31%and 29.17%in the study and control groups,respectively,and the difference was not statistically significant(χ^(2)=2.325,P=0.127).The incidences of single adverse reaction of decreased oxygen saturation and fatigue in the study group were lower than those in the control group,and the difference was statistically significant(all P<0.05).Conclusion Improved oral exercis
作者
王菊
张冉
王钦
翟芳
张雪
WANG Ju;ZHANG Ran;WANG Qin;ZHAI Fang;ZHANG Xue(Department of Obstetrics,Nanyang Central Hospital,Nanyang,Henan 473000,China;不详)
出处
《中华全科医学》
2022年第12期2063-2067,共5页
Chinese Journal of General Practice
基金
河南省科技攻关项目(182103210412)。
关键词
改良口腔运动干预
临床结局
早产儿
Modified oral exercise intervention
Clinical outcome
Preterm infants
