Objective To analyze the efficacy of early premature infant oral motor intervention (PIOMI) on the prognosis of premature infants in neonatal intensive care unit (NICU), in order to provide evidence for the management of premature infants. Methods A total of 151 preterm infants in NICU of Liaocheng People′s Hospital were enrolled in this study, and were divided into intervention group and control group from January 2015 to January 2017.Both groups received routine treatment of preterm infants after stable vital signs, and the intervention group was given oral massage method adopted by Sandra Fucile additionally,with 1 time per day for 14 consecutive days.Chinese Version of Peterm Infant Oral Feeding Readiness Assessment Scale(PIOFRA scale-CV) was used to evaluate the preterm infant′s oral feeding ability, including the oral feeding performance, feeding process and feeding outcome, and Neonatal Behavioral Neurological Assessment(NBNA) results.Infant Neurological International Battery(Infanib) was used for early motor development evaluation at 3 and 6 months after birth respectively. Results The postmenstrual age of the intervention group was significantly smaller than the control group till the completely gastrointestinal feeding(t=3.01,P=0.04).The feeding efficiency of the intervention group was significantly higher than that in the control group (t=2.30,P=0.03).The weight of the intervention group reaching completely gastrointestinal feeding was significantly lower than that in the control group (t=3.45,P=0.01).The score of PIOFRA Scale-CV in intervention group was significantly higher than that in control group (F=5.658, P=0.02), and there were interaction effects between different time and groups (F=12.60, P<0.001).Infanib was used to evaluate early motor development at 3 months of age in both groups, and the proportion of normal results in intervention group was significantly higher than that of control group(χ2=4.00,P=0.03).At 6 months of age, the proportion of abnormal results in intervention group was significantly lower than that in the control group, and the proportion of normal results was significantly higher than that in the control group (χ2=10.52,12.10,P<0.01). Conclusions Oral feeding in preterm infants is a systematical and complex process.Early oral exercise intervention scheme can shorten the transition time from tube feeding to complete oral feeding, and can improve the performance of feeding in premature infants.
Key words
oral motor intervention /
preterm infants /
suck and swallow function /
oral feeding
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