Effect of chiropractic therapy on feeding intolerance in very preterm infants

DING Ying-xue; REN Yan-fang; CUI Hong

doi:10.11852/zgetbjzz2018-26-03-22

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Chinese Journal of Child Health Care ›› 2018, Vol. 26 ›› Issue (3) : 308-310. DOI: 10.11852/zgetbjzz2018-26-03-22

Effect of chiropractic therapy on feeding intolerance in very preterm infants

DING Ying-xue, REN Yan-fang, CUI Hong

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Abstract

Objective To analyze the effects of chiropractic therapy on feeding intolerance in very preterm infants. Methods Very preterm infants with gestation age less than 32 weeks with feeding intolerance form intensive care unit of pediatrics department in Beijing Friendship Hospital were randomly divided into two groups from Jan.1st,2016 to Mar.31th 2017:chiropractic therapy group and regular therapy group.Each group was 20 preterm infants and all with early minimal enteral feeding.There was no significance in gestation age,birth weight and sex among two group. Results Compared with regular treatment,duration of feeding intolerance,average day of reaching enteral feeding and average day in hospoital became shorten after chiropractic therapy,and the difference was significant (P<0.05).There was no significant difference for treatment effectiveness (P=0.051)although clinical symptoms improved,such as vomiting and abdominal distension,milk volume,improved after chiropractic therapy. Conclusions Chiropractic therapy is safe for very preterm infants with feeding intolerance.Chiropractic therapy can rapidly relief clinical symptoms and promote growth and development.

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feeding intolerance / chiropractic therapy / preterm infant

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DING Ying-xue, REN Yan-fang, CUI Hong. Effect of chiropractic therapy on feeding intolerance in very preterm infants[J]. Chinese Journal of Child Health Care. 2018, 26(3): 308-310 https://doi.org/10.11852/zgetbjzz2018-26-03-22

References

[1] Fanaro S.Feeding intolerance in the preterm infant[J].Early Hum Dev,2013,89(Suppl 2):13-20.
[2] Anabrees J,Shah VS,Alosaimi A,et al.Glycerin laxatives for prevention or treatment of feeding intolerance in very low birth weight infants[J].Cochrane Database Syst Rev,2015,9:CD010464.doi:10.1002/14651858.
[3] 张志群,李惠萍,朱建幸,等.口服红霉素防治早产儿喂养不耐受的Meta 分析[J].中华围产医学杂志,2010,13(2):201-208.
[4] Fanaro S.Feeding intolerance in the preterm infant[J].Early Hum Dev,2013,89(Suppl 2):13-20.
[5] Balgi S,Singhal S,Mueller G,et al.Feeding intolerance and poor growth in infants with gastroschisis:Longitud inal experience with consecutive patients over thirteen years[J].J Neonatal Surg,2015,4(4):42.
[6] Assad M,Elliott MJ,Abraham JH.Decreased cost and improved feeding tolerance in VLBW infants fed an exclusive human milk diet[J].J Perinatol,2016,36(3):216-220.
[7] 王晓静.经络按摩式抚触对早产儿生长发育及神经行为发育的影响[J].临床合理用药杂志,2016,9(8c):88-90.
[8] 崔立红,彭丽华,杨云生.功能性胃肠病发病机制的研究进展[J].胃肠病学与肝病学杂志,2013,22(5):488-491.
[9] Morgan J,Young L,McGuire W.Slow advancement of enteral feed volumes to prevent necrotising enterocolitis in very low birth weight infants[J].Cochrane Database Syst Rev,2014,3(12):CD001241.
[10] 蒋龙龙,刘昱材,李学超,等.捏脊疗法作用机制及作用特点探讨[J].中华中医药杂志,2015,30 (8):2852-2856.
[11] 欧阳学认,连逸青,陈火莲,等.捏脊疗法干预早产低体重儿的临床研究[J].上海中医药杂志,2016,50(11):55-57.
[12] Goncalves G,Le Scanff C,Leboeuf-Yde C.Primary prevention in chiropractic practice:a systematic review[J].Chiropr Man Therap,2017,25:9.
[13] Yeganeh M,Baradaran HR,Qorbani M,et al.The effectiveness of acupuncture,acupressure and chiropractic interventions on treatment of chronic nonspecific low back pain in Iran:A systematic review and meta-analysis[J].Complement Ther Clin Pract,2017,27:11-18.
[14] 卢一悦.捏脊与按摩治疗糖尿病性胃轻瘫的效果[J].中国临床康复,2006,10(15):32-35.
[15] 黎士荻,王兴桂,吴高鑫.捏脊疗法对幼龄脾虚大鼠胃肠运动及SP的影响[J].贵阳中医学院学报,2017,39(1):20-23.
[16] 袁贵龙,高立凡,刘巧玉.中医综合疗法治疗早产儿喂养不耐受疗效观察[J].中医药临床杂志,2013,25(1):56-57.
[17] Ernst E.Chiropractic treatment for gastrointestinal problems:a systematic review of clinical trials[J].Can J Gastroenterol,2011,25(1):39-40.
[18] Dasopoulou M,Briana DD,Boutsikou T,et al.Motilin and gastrin secretion and lipid profile in preterm neonates following prebiotics supplementation:a double-blind randomized controlled study[J].JPEN J Parenter Enteral Nutr,2015,39(3):359-68.
[19] Weitkamp JH,Rosen MJ,Zhao Z,et al.Small intestinal intraepithelial TCRγδ+ T lymphocytes are present in the premature intestine but selectively reduced in surgical necrotizing enterocolitis[J].PLoS One,2014,9(6):e99042.
[20] Underwood MA,Sohn K.The Microbiota of the Extremely Preterm Infant[J].Clin Perinatol,2017,44(2):407-427.