中华实用儿科临床杂志
中華實用兒科臨床雜誌
중화실용인과림상잡지
Journal of Applied Clinical Pediatrics
2014年
14期
1087-1091
,共5页
仝慧茹%徐慧颖%周春兰%曾鹏程
仝慧茹%徐慧穎%週春蘭%曾鵬程
동혜여%서혜영%주춘란%증붕정
中文版早产儿准备经口喂养评估量表%口腔按摩%婴儿,早产
中文版早產兒準備經口餵養評估量錶%口腔按摩%嬰兒,早產
중문판조산인준비경구위양평고량표%구강안마%영인,조산
Chinese version of Preterm Infant Oral Feeding Readiness Assessment Scale%Oral stimulation%Preterm infant
目的 探讨Sandra Fucile口腔按摩方法对早产儿经口喂养能力的影响.方法 按随机设计分组将2012年7月至12月在南方医科大学南方医院新生儿科住院的符合纳入标准的65例早产儿分为对照组(33例)和干预组(32例).对照组早产儿仅进行常规护理,包括口腔、脐部、体位等日常护理;干预组早产儿在常规护理的基础上接受Saudra Fucile口腔按摩,1次/d,连续10d.采用中文版早产儿准备经口喂养评估量表评估2组早产儿在不同的时间(干预开始当天、干预开始后第7、10、14天)的经口喂养能力.结果 对照组和干预组早产儿在不同时间中文版早产儿准备经口喂养评估量表评分差异有统计学意义(F=169.062,P＜0.001),2组在干预开始当天评分均为最小值,之后随时间呈上升趋势.干预组评分显著高于对照组(F=5.538,P=0.022),除干预开始当天、干预开始第7天2组差异无统计学意义(=1.650,P=0.204;t =0.817,P=0.369)外,其余各时间点干预组评分均高于对照组,差异均有统计学意义(t=17.339、24.141,P均＜0.001).不同时间和分组之间存在交互效应(F=11.561,P＜0.001),干预组干预后量表评分的增长速度和幅度显著大于对照组.对照组和干预组早产儿呕吐的发生率[42.4％(14/33例)比34.4％(11/32例)]、干预后感染的发生率[27.3％(9/33例)比9.4％(3/32例)]、胃食管反流的发生率[30.3％(10/33例)比25.0％(8/32例)]差异均无统计学意义(x2 =0.445、3.457、0.288,P均＞0.05).结论 Sandra Fucile口腔按摩在干预10 d后可以明显促进早产儿经口喂养能力的发育,且不会增加呕吐、胃食管反流、感染的发生率,适于在临床推广应用.
目的 探討Sandra Fucile口腔按摩方法對早產兒經口餵養能力的影響.方法 按隨機設計分組將2012年7月至12月在南方醫科大學南方醫院新生兒科住院的符閤納入標準的65例早產兒分為對照組(33例)和榦預組(32例).對照組早產兒僅進行常規護理,包括口腔、臍部、體位等日常護理;榦預組早產兒在常規護理的基礎上接受Saudra Fucile口腔按摩,1次/d,連續10d.採用中文版早產兒準備經口餵養評估量錶評估2組早產兒在不同的時間(榦預開始噹天、榦預開始後第7、10、14天)的經口餵養能力.結果 對照組和榦預組早產兒在不同時間中文版早產兒準備經口餵養評估量錶評分差異有統計學意義(F=169.062,P＜0.001),2組在榦預開始噹天評分均為最小值,之後隨時間呈上升趨勢.榦預組評分顯著高于對照組(F=5.538,P=0.022),除榦預開始噹天、榦預開始第7天2組差異無統計學意義(=1.650,P=0.204;t =0.817,P=0.369)外,其餘各時間點榦預組評分均高于對照組,差異均有統計學意義(t=17.339、24.141,P均＜0.001).不同時間和分組之間存在交互效應(F=11.561,P＜0.001),榦預組榦預後量錶評分的增長速度和幅度顯著大于對照組.對照組和榦預組早產兒嘔吐的髮生率[42.4％(14/33例)比34.4％(11/32例)]、榦預後感染的髮生率[27.3％(9/33例)比9.4％(3/32例)]、胃食管反流的髮生率[30.3％(10/33例)比25.0％(8/32例)]差異均無統計學意義(x2 =0.445、3.457、0.288,P均＞0.05).結論 Sandra Fucile口腔按摩在榦預10 d後可以明顯促進早產兒經口餵養能力的髮育,且不會增加嘔吐、胃食管反流、感染的髮生率,適于在臨床推廣應用.
목적 탐토Sandra Fucile구강안마방법대조산인경구위양능력적영향.방법 안수궤설계분조장2012년7월지12월재남방의과대학남방의원신생인과주원적부합납입표준적65례조산인분위대조조(33례)화간예조(32례).대조조조산인부진행상규호리,포괄구강、제부、체위등일상호리;간예조조산인재상규호리적기출상접수Saudra Fucile구강안마,1차/d,련속10d.채용중문판조산인준비경구위양평고량표평고2조조산인재불동적시간(간예개시당천、간예개시후제7、10、14천)적경구위양능력.결과 대조조화간예조조산인재불동시간중문판조산인준비경구위양평고량표평분차이유통계학의의(F=169.062,P＜0.001),2조재간예개시당천평분균위최소치,지후수시간정상승추세.간예조평분현저고우대조조(F=5.538,P=0.022),제간예개시당천、간예개시제7천2조차이무통계학의의(=1.650,P=0.204;t =0.817,P=0.369)외,기여각시간점간예조평분균고우대조조,차이균유통계학의의(t=17.339、24.141,P균＜0.001).불동시간화분조지간존재교호효응(F=11.561,P＜0.001),간예조간예후량표평분적증장속도화폭도현저대우대조조.대조조화간예조조산인구토적발생솔[42.4％(14/33례)비34.4％(11/32례)]、간예후감염적발생솔[27.3％(9/33례)비9.4％(3/32례)]、위식관반류적발생솔[30.3％(10/33례)비25.0％(8/32례)]차이균무통계학의의(x2 =0.445、3.457、0.288,P균＞0.05).결론 Sandra Fucile구강안마재간예10 d후가이명현촉진조산인경구위양능력적발육,차불회증가구토、위식관반류、감염적발생솔,괄우재림상추엄응용.
Objective To study the effect of Sandra Fucile oral stimulation on oral feeding readiness and ability of preterm infants.Methods Sixty-five premature infants were selected in the study.All of the premature infants were recruited randomly in convenience between Jul.and Dec.2012.For a randomized control principle,SPSS 13.0 was performed to achieve complete random design.Objects were divided into control group(receiving routine nursing) and intervention group(on the basis of routine nursing,receiving 15 minutes oral stimulation,1 time/day,for 10 days).Chinese version of Preterm Infant Oral Feeding Readiness Assessment scale(PIOFRA scale-CV) was used when intervention began,and 7 days,10 days,14 days after the start of the intervention.Results PIOFRA-CV scale score was statistically different at different time in both groups(F =169.062,P ＜0.001).The first day ratings were minimum in the 2 groups,after which with an upward trend over time.The control group and intervention group rated a statistically significant difference(F =5.538,P =0.022).Except for no difference on the first day and seventh day (t =1.650,P =0.204 ;t =0.817,P =0.369) between the 2 groups,the intervention group had a higher score than the control group (t =17.339,24.141,all P ＜0.001).Group and time had an interaction effect(F =1 1.561,P ＜0.001).The incidence of vomiting[42.4％ (14/33 cases) vs 34.4％ (11/32 cases)],infection [27.3％ (9/33 cases) vs 9.4％ (3/32 cases)],and gastro-oesophageal reflux[30.3％ (10/33 cases) vs 25.0％ (8/32 cases)] were not significantly different between the 2 groups(x2 =0.445,3.457,0.288,all P ＞ 0.05).Conclusions Saudra Fucile oral stimulation method can significantly promote the development of premature oral feeding ability on the 10 day after the intervention,and will not increase vomiting,gastroesophageal reflux,and infection.It is suitable for clinical application.
