摘要目的 探讨袋鼠式护理对母婴分离新生儿母乳喂养的影响。方法 选取2019年1～12月我院收治的100 例母婴分离的新生儿，按随机数字原则分对照组（n=50）与观察组（n=50）。对照组采用新生儿科常规护理；观察组在常规护理基础上采用袋鼠式护理，比较两组的首次母乳喂养时间、首次母乳喂养持续时间和产后42 d 纯母乳喂养成功率、两组新生儿的神经行为。结果 观察组的首次母乳喂养时间为产后（34.8±0.98）h，对照组为产后（78.64±1.23）h，观察组的首次母乳喂养时间早于对照组（P＜0.05）；观察组的首次母乳喂养持续时间为（15.02±0.43）min，对照组为（10.56±0.29）min，观察组首次母乳喂养持续时间长于对照组，差异有统计学意义（P＜0.05）；观察组的产后42 d 母乳喂养率高于对照组（P＜0.01）。新生儿出生30 d 后观察组的原始反射、主动肌张力、被动肌张力、行为能力评分高于对照组，差异均有统计学意义（P＜0.05）。结论 对母婴分离新生儿采取袋鼠式护理措施能缩短首次母乳喂养时间，延长首次母乳喂养持续时间，改善新生儿神经行为。
Abstract：Objective To explore the effect of kangaroo nursing on breastfeeding of neonates separated from mothers.Methods A total of 100 neonates separated from mothers admitted to our hospital from January to December 2019 were selected. They were divided into the control group and the observation group according to random number principle, 50 cases in each group. The control group received routine nursing, the observation group was given kangaroo nursing on the basis of routine nursing. The time of first breastfeeding, the duration of first breastfeeding, the success rate of exclusive breastfeeding at 42 days postpartum and the neurobehavior of newborns in the two groups were compared. Results The first breastfeeding time in the observation group was (34.8±0.98) h postpartum, and the first breastfeeding time in the control group was (78.64±1.23) h postpartum. The first breastfeeding time in the observation group was earlier than that of the control group (P＜0.05); the first breastfeeding in the observation group continued the time was(15.02±0.43) min, the duration of the first breastfeeding in the control group was (10.56±0.29) min, the duration of the first breastfeeding in the observation group was longer than that in the control group, the difference was statistically significant (P＜0.05). The breast feeding rate of observation group was higher than that of control group (P＜0.05). The neonatal reflex, active muscle tone, passive muscle tone, and behavioral ability scores of the observation group were higher those that of the control group 30 days after birth, the differences were statistically significant (P＜0.05). Conclusion Taking kangaroo-like nursing measures for neonates separated from mothers can shorten the time of first breastfeeding, extend the duration of first breastfeeding and improve the neonatal neurobehavior.
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