不同干预方案对喂养不耐受早产儿的疗效分析

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Abstract Objective To explore the effect of different intervention programs on feeding intolerance in preterm infants.Methods A total of 164 premature infants with feeding intolerance admitted to the Department of Neonatology,People′s Hospital of Yingde City from August 2019 to December 2020 were selected as the research subjects.They were divided into control group and groups A,B and C according to the random lottery method,with 41 cases in each group.The control group was fed with microgastric tube nasogastric feeding,parenteral nutrition and routine feeding and nursing.The A group was treated with non nutritional sucking intervention on the basis of the control group;the B group was treated with three-step prone position intervention on the basis of the control group;the C group was treated with non nutritional sucking and three-step prone position comprehensive intervention on the basis of the control group.The time of daily milk increase,recovery of feeding volume,total intestinal feeding,recovery of birth weight and nasogastric tube indwelling were compared in each group,and the improvement time of feeding intolerance symptoms such as gastric retention,vomiting and abdominal distension were statistically analyzed.Results The daily milk gain of group C was more than that of other groups,while the time for the recovery of the rest of the feeding amount,the time for the whole intestinal feeding,the time for the recovery of birth weight,and the indwelling time of nasogastric tube were shorter than those of other groups,and the differences were statistically significant(P<0.05).The daily milk gain of group A and group B were more than that of the control group,while the recovery time of feeding amount,total intestinal feeding time,recovery time of birth weight and retention time of nasogastric tube were shorter than those of the control group,the differences were statistically signifacant(P<0.05).There was no significant difference in feeding related indexes between group A and group B(P>0.05).The improvement time of feeding intolerance symptoms in group C was shorter than that in other groups,and the difference was statistically significant(P<0.05).The improvement time of feeding intolerance symptoms in group A and group B was shorter than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the improvement time of feeding intolerance symptoms between group A and group B(P>0.05).Conclusion Comprehensive intervention such as non nutritive sucking and three-step prone position can improve the symptoms of feeding intolerance and improve the feeding effect of premature infants.

Key words： Non nutritive sucking Three-step prone position Premature infant Feeding intolerance Curative effect

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[1]	胡晓艳，常艳美，李在玲.早产儿喂养不耐受的临床特征及危险因素[J].中华围产医学杂志，2020，23（3）：182-187.
[2]	张金玉.非营养性吸吮联合常乐康治疗早产儿喂养不耐受的疗效与安全性分析[J].首都食品与医药，2019，20（15）：40-41.
[3]	毕荣华，周洁玉，吴皎，等.母乳喂养改善及预防晚期早产儿喂养不耐受的效果评价[J].实用临床护理学电子杂志，2020，5（19）：11,14.
[4]	姜辉.非营养性吸吮联合口腔按摩对早产儿喂养不耐受的效果[J].河南医学研究，2019，28（7）：65-66.
[5]	刘良策，田伟，墙世贵，等.国内非营养性吸吮对早产儿喂养及生长发育的meta分析[J].心理月刊，2019，14（9）：22-23.
[6]	张新佳.不同护理体位对鼻饲喂养早产儿生命体征的影响[J].当代护士：中旬刊，2019，26（3）：80-81.
[7]	徐兰飞，曹旭英，金志彪.非营养性吸吮并抚触对早产儿喂养不耐受及早期生长发育的影响[J].中国新生儿科杂志，2012，27（2）：106-108.
[8]	殷秀云，刘巧红，方良凤.早期微量喂养联合非营养性吸吮治疗早产儿喂养不耐受的效果[J].中国当代医药，2019，23（12）：26-28.
[9]	耿利施.非营养性吸吮联合体位管理在早产儿喂养护理中的应用[J].亚洲临床医学杂志，2020，3（2）：19.
[10]	杜钦霞，骆丽华，刘冬云，等.综合喂养干预对早产儿喂养不耐受的临床治疗效果观察[J].中华临床营养杂志，2019，27（5）：304-308.
[11]	高燕，张瑛，颜新艳.早产儿喂养不耐受的改善策略研究进展[J].新乡医学院学报，2019，36（3）：295-298.
[12]	林淑仪，莫静金，陆月仪.抚触联合俯卧位对促进早产儿胃肠动力的影响[J].中国实用医药，2019，14（36）：180-181.
[13]	赵晓燕.俯卧位联合抚触干预对早产低体重儿喂养不耐受的影响[J].中国当代医药，2020，27（3）：203-206.
[14]	李敏敏，司在霞，刘进，等.早产儿喂养不耐受预防及管理的最佳证据总结[J].中华护理杂志，2020，55（8）：1163-1168.
[15]	杜钦霞，骆丽华，刘冬云，等.综合喂养干预对早产儿喂养不耐受的临床治疗效果观察[J].中华临床营养杂志，2019，27（5）：304-308.
[16]	李帅，沈俊军，周薇薇，等.非营养性吸吮对持续喂养早产儿生长发育和行为状态的影响[J].安徽医学，2019，40（7）：243.
[17]	吴玉霞，刘婵媛，周祖发，等.非营养性吸吮联合俯卧位护理干预对早产儿喂养不耐受的影响[J].齐鲁护理杂志，2018，24（11）：116-118.
[18]	马小风，吴静，杨小珍，等.非营养性吸吮联合俯卧位重力喂养对极低出生体重儿生长发育及胃肠道功能的影响[J].宁夏医学杂志，2020，42（12）：1099-1101