CAJ | 학술논문

目的了解、评测早产儿早期母乳喂养行为,分析早产儿早期母乳喂养行为演变过程,为早产儿实施母乳喂养提供理论依据.方法对38例住院早产儿的早期母乳喂养行为从开始实施母乳喂养至获得有效母乳喂养进行连续评测.结果最早的母乳喂养开始于纠正胎龄30周；明显的觅食反射,有效的乳晕含接,重复的少而短吸吮以及不规律的吞咽最早出现于31周；最长的连续吸吮次数介于6～24次,平均18次；完全母乳喂养在33～38周获得,平均36周.结论早产儿早期的母乳喂养能力随着母乳喂养的实施逐渐增强、完善,早产儿早期实施母乳喂养是完全可行的.
목적 료해、평측조산인조기모유위양행위,분석조산인조기모유위양행위연변과정,위조산인실시모유위양제공이론의거.방법 대38례주원조산인적조기모유위양행위종개시실시모유위양지획득유효모유위양진행련속평측.결과 최조적모유위양개시우규정태령30주；명현적멱식반사,유효적유훈함접,중복적소이단흡전이급불규률적탄인최조출현우31주；최장적련속흡전차수개우6～24차,평균18차；완전모유위양재33～38주획득,평균36주.결론 조산인조기적모유위양능력수착모유위양적실시축점증강、완선,조산인조기실시모유위양시완전가행적.
Objective To understand and evaluate the early breastfeeding behaviors in preterm infants,and to analyze the evolution process of early breastfeeding behaviors in preterm infants,and therefore to provide a theoretical basis for preterm infant breastfeeding.Methods A continuous evaluation of early breastfeeding behaviors in 38 preterm infants was performed commencing on the beginning of breastfeeding and finishing on the attainment of breastfeeding.Results The earliest breastfeeding was initiated from a postmenstrual age (PMA) of 30 weeks.Obvious rooting,efficient areolar grasp,repeated short sucking bursts and irregular swallowing were noted from 31 weeks; The maximum number of consecutive sucks was limited to between 6 and 24 sucks,with a median of 18 sucks.Full breastfeeding was attained at a median of 36 weeks,between 33 and 38 weeks.Conclusions The early breastfeeding capacity in preterm infants is enhanced and becomes perfect gradually with the implementation of breastfeeding,and that is sufficient and practical for establishment of full breastfeeding at a low postmenstrual age of preterm infants.