The effect of combined treatment with gravitational tube feeding and oral motor in treatment of feeding intolerance in preterm
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摘要: 目的 探讨重力管饲喂养联合口腔运动对早产儿喂养不耐受的影响,为早产儿喂养提供科学依据。 方法 将2015年7月—2016年6月于汕头大学医学院附属粤北人民医院确诊为喂养不耐受的122例早产儿用简单随机分组的方法分为对照A组40例、对照B组38例与观察C组44例。对照组A予常规饲奶法,对照组B予常规饲奶法+Fucile口腔干预法,观察组C予重力管饲法+Fucile口腔干预法。观察各组胃潴留消失时间、胃食管反流消失时间、恢复出生体重时间、经口喂养时间、住院时间等,3组组间采用方差分析,以P<0.05为差异有统计学意义,以观察、评价3组护理效果。 结果 观察组C (重力管饲法+Fucile口腔干预法)胃潴留消失时间、胃食管反流消失时间、恢复出生体重时间、达经口足量喂养时间、住院时间均明显短于对照组A (常规饲奶法)、对照组B (常规饲奶法+Fucile的口腔干预法)(P<0.05),对照组B (常规饲奶法+Fucile口腔干预法)胃食管反流消失时间、恢复出生体重时间、住院时间短于对照组A (常规饲奶法)(P<0.05)。 结论 重力管饲喂养联合口腔运动是最佳的干预方法,能有效降低早产儿喂养不耐受的发生率,利于由管饲喂养过渡到经口喂养,缩短达全胃肠营养时间,缩短住院时间,可操作性强,适于在临床实践中普遍推广。Abstract: Objective To observe the therapeutic effect of gravitational tube feeding together with oral motor in premature infants with feeding intolerance,and to provide evidence for the preterm infant feeding. Methods A total of 122 premature infants diagnosed as feeding intolerance were randomly divided into control group A,control group B and observation group C.The control group A with 40 cases received conventional tube feeding,the control group B with 38 cases were given conventional tube feeding combined with Fucile's Oral Motor Interventions,the observation group C with 44 cases was treated with gravitational tube feeding and Fucile's Oral Motor Interventions.We observed when gastric retention disappeared,when gastro-esophageal reflux disappeared,when birth weight regained,and the oral feeding time as well as hospital stay.Variance analysis was used to compare the nursing effect of the three groups,with P<0.05 showing statistical significance. Results All indexes in observation group C were significantly shorter those in control group A and B(P<0.05).Gastro-esophageal reflux,birth weight regain and the length of hospitalization in control group B is superior to those in control group A. Conclusion Combined treatment with gravitational tube feeding and oral motor can effectively reduce the rate of feeding intolerance in preterm.It is beneficial to shorten the time necessary to switch from tube feeding to per-oral feeding,and reduce the duration of hospital stays.It is valuable to widely popularize this method in clinical practice.
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Key words:
- Gravitational tube feeding /
- Oral motor /
- Premature infant /
- Feeding intolerance
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