物理干预,早产儿,喂养质量,经口喂养,预后 ," /> 物理干预,早产儿,喂养质量,经口喂养,预后 ,"/> Physical intervention,Premature infants,Feeding quality,Oral feeding,Prognosis ,"/> <div> <span style="line-height:2;font-size:14px;">物理干预对早产儿喂养质量的临床效果</span><span style="line-height:2;font-size:14px;">分析</span> </div>
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发育医学电子杂志  2020, Vol. 8 Issue (4): 318-322    DOI: 10.3969/j.issn.2095-5340.2020.04.006
  围产医学   论著 |新生儿 |
物理干预对早产儿喂养质量的临床效果分析
骆丽华  刘冬云 杜钦霞  苏林娜  李瑞 李丽丽 王丽华
1. 青岛大学附属医院 儿童医学中心,山东 青岛 266000;2. 海阳市人民医院 儿科,山东 烟台 265100
Clinical effect analysis of physical intervention on feeding quality of premature infants
Luo Lihua , Liu Dongyun , Du Qinxia,et al
1. Children's MedicalCenter, Affiliated Hospital of Qingdao University, Shandong, Qingdao 266000, China; 2. DepartmentOf Pediatrics, Haiyang People's Hospital, Shandong, Yantai 265100, China
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摘要 
【摘要】 目的  探讨常规综合护理治疗联合物理干预对早产儿喂养质量的改善效果。 方法 2018 年12 月至 2019 年 7 月,在青岛大学附属医院新生儿重症监护病房收治的早产儿中,纳入 102 例为研究对象,随机分为干预组 52 例和对照组 50 例。所有早产儿均留置胃管,每 3 小时重力管饲喂养 1 次。对照组常规综合护理、口腔护理;干预组增加物理干预措施,包括初乳口腔护理、口腔运动干预以及腹部按摩,共 10 d。记录并分析两组干预后的喂养质量及喂养进程的变化情况。采用 t 检验和 χ2 检验进行统计学分析。 结果  ①基本情况:干预组与对照组在胎龄、性别、出生体重、呼吸机辅助通气、母亲疾病、产前激素使用及生后 1 周排便次数等方面比较,差异均无统计学意义(P>0.05)。②喂养质量:研究第 1 天,干预组与对照组患儿的腹围、呕吐频率、胃潴留量、体重比较,差异均无统计学意义(P>0.05);研究第 10 天,干预组患儿的体重、奶量均高于对照组[体重(1 775±401)与(1 563±336) g,奶量(91±43)与(73±46)ml/(kg·d),P<0.05],腹围、胃潴留量均低于对照组[腹围(23.7±2.1)与(24.6±2.2)cm,胃潴留量(2.8±2.2)与(4.9±1.9)ml,P<0.05]。③喂养进程:干预组早产儿的开始经口喂养时间及管饲时间均低于对照组[开始经口喂养时间[(11.5±10.0)与(18.5±15.0)d,管饲时间(18±15)与(26±17)d,P<0.05]。 结论 对早产儿早期进行初乳免疫疗法、口腔运动干预及腹部按摩等物理干预措施,可改善早产儿喂养质量,缩短管饲时间,促进喂养进程,从而改善预后。
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关键词:  物理干预')" href="#">    
Abstract: 
【Abstract】 Objective To explore the improvement effect of routine comprehensive nursing treatmentcombined with physical intervention on feeding quality of premature infants. Methods From December2018 to July 2019, 102 premature infants admitted to the neonatal intensive care unit of Affiliated Hospitalof Qingdao University were included in the study, and they were randomly divided into an interventiongroup of 52 infants and a control group of 50 infants. All the premature babies were fed with gravitytube every 3 hours. Control group were performed routine comprehensive nursing and oral care. In the intervention group, physical intervention measures were added, including colostrum oral care, oral motor intervention and abdominal massage, for a total of 10 days. Changes in feeding quality and feeding process were recorded and analyzed in the two groups after intervention. Then t-test and χ2 test wereused for statistical analysis. Results ① Basic situation: There was no significant difference betweenthe intervention group and the control group in terms of gestational age, gender, birthweight,ventilatoryassistedventilation, maternal diseases, prenatal hormone use and defecation frequency in the first week after
birth (P>0.05). ② Feeding quality: On first day of the study, there was no statistically significant difference
in abdominal circumference, vomiting frequency, gastric retention and body weight between the intervention
group and the control group (P>0.05). On the 10th day of the study, the body weight and milk volume of the
children in the intervention group were higher than those in the control group [body weight (1 775±401) and
(1 563±336) g, milk volume (91±43) and (73±46) ml/(kg·d), P<0.05]; and the abdominal circumference
and gastric retention of the intervention group were lower than those in the control group [abdominal
circumference (23.7±2.1) and (24.6±2.2) cm, gastric retention (2.8±2.2) and (4.9±1.9) ml, P<0.05].
③ Feeding process: The initial oral feeding time and tube feeding time of preterm infants in the intervention
group were lower than those in the control group [initial oral feeding time (11.5±10.0) and (18.5±15.0) d,
tube feeding time (18±15) and (26±17) d, P<0.05]. Conclusion Physical interventions such as colostrum
immunotherapy, oral motor intervention and abdominal massage can improve the feeding quality, shorten the
tube feeding time, promote the feeding process and improve the prognosis of premature infants.
Key words:  Physical intervention')" href="#">
收稿日期:  2020-01-07                     发布日期:  2020-11-03     
基金资助: 
山东医疗卫生科技发展项目(2017WSB26008)
通讯作者:  刘冬云    E-mail:  liudongyun007@163.com
引用本文:    
骆丽华  刘冬云 杜钦霞  苏林娜  李瑞 李丽丽 王丽华.
物理干预对早产儿喂养质量的临床效果分析
[J]. 发育医学电子杂志, 2020, 8(4): 318-322.
Luo Lihua , Liu Dongyun , Du Qinxia, et al.
Clinical effect analysis of physical intervention on feeding quality of premature infants
. Journal of Developmental Medicine(Electronic Version), 2020, 8(4): 318-322.
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http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2020.04.006  或          http://www.fyyxzz.com/CN/Y2020/V8/I4/318
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