目的 观察个性化综合干预对早产儿喂养困难的疗效,为早产儿喂养困难的有效干预提供参考。方法 选取2015年1月-2019年6月华中科技大学同济医学院附属协和医院新生儿科收治的喂养困难的早产儿106例,根据是否进行个性化综合干预分为对照组(n=52)和观察组(n=54)。两组均接受非营养性吸吮训练;观察组在非营养性吸吮训练的基础上同时接受个性化综合干预。比较两组完成经口过渡喂养的天数(d)、治疗后第3天、治疗第7天早产儿准备经口喂养评估(PIOFRA)评分以及治疗第7天PIOFRA达到30分的病例数。结果 治疗后,观察组经口过渡喂养的天数较对照组缩短(t＝11.282),治疗第3天和第7天观察组PIOFRA分值高于对照组(t=9.561, 9.617),治疗后第7天PIOFRA评分达到30分的病例数观察组显著多于对照组(χ2=5.270),差异均有统计学意义(P<0.05)。结论 对存在喂养困难的早产儿进行个性化综合干预,可有效缩短经口过渡喂养的时间,更快提高早产儿准备经口喂养能力,降低营养不良发生的风险。
Abstract
Objective To observe the effect of personalized comprehensive intervention on feeding difficulties in premature infants, so as to provide evidence for effective intervention. Methods A total of 106 premature infants with feeding difficulties admitted to the Department of Neonatal Medicine, Affiliated Union Hospital, Tongji Medical College of Huazhong University of Science and Technology from January 2015 to June 2019, were enrolled in this study.And the infants were divided into control group (n=52) and observation group (n=54) according to whether personalized comprehensive intervention was performed.Both groups received non-nutritive sucking training, while the observation group received personalized comprehensive intervention additionally.The duration of oral transition feeding, the Prepare Infant Oral Feeding Readiness Assessment (PIOFRA) score on the third and the 7th day after treatment, and the number of cases reaching 30 points on the 7th day of treatment were compared between the two groups. Results After treatment, the duration of oral transitional feeding in the observation group was shorter than that in the control group (t=11.282).The PIOFRA score of the observation group was higher than that of the control group on the third day 3 and the 7th day (t=9.561, 9.617).And the number of cases with PIOFRA score ＞30 points on the 7th day after treatment in the observation group was significantly more than that in the control group(χ2=5.270,P＜0.05). Conclusions Personalized comprehensive interventions for preterm infants with feeding difficulties can effectively shorten the duration for oral transitional feeding, improve the ability of preterm infants to prepare oral feeding faster, and reduce the risk of malnutrition.
关键词
早产儿 /
喂养困难 /
综合干预
Key words
preterm infants /
feeding difficulties /
comprehensive intervention
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