母亲声音刺激联合非营养性吸吮对早产儿经口喂养的影响

目的:探讨母亲声音刺激联合非营养性吸吮对早产儿经口喂养的影响。方法:选取2018年1月至2018年12月间在本院新生儿科病房住院早产儿(200例)作为研究对象,随机分为对照组(70例)、研究组A(65例)、研究组B(65例)。对照组按照新生儿科常规管理,研究组A在常规管理基础上给予单纯母亲声音刺激,研究组B在常规管理、单纯母亲声音刺激基础上,给予非营养性吸允管理。比较各组的喂养进程、喂养表现、体质量增长情况、喂养不耐受评分。结果:研究组A、研究组B的完全经口喂养时的纠正胎龄(PMA)、过渡时间均明显短于对照组,且研究组B均明显短于研究组A,差异均有统计学意义(P0.05);研究组A、研究组B的开始经口喂养时喂养效率、完全经口喂养时喂养效率均明显高于对照组,且研究组B均明显高于研究组A,差异均有统计学意义(P0.05);研究组A、研究组B的完全经口喂养时体质量、出院时体质量均明显低于对照组,且研究组B均明显低于研究组A,差异均有统计学意义(P0.05)。研究组B与对照组间的喂养不耐受评分情况差异有统计学意义(P0.05)。结论:母亲声音刺激联合非营养性吸吮可促进早产儿经口喂养进程,改善经口喂养表现,减少喂养不耐受发生率,加快恢复至出生体质量的时间。

Effects of Maternal Sound Stimulation Combined with Non-Nutritive Sucking on Oral Feeding of Premature Infants

ABSTRACT Objective: To explore the effects of maternal sound stimulation combined with non-nutritive sucking on oral feeding of premature infants. Methods: Premature infants (200 cases) hospitalized in the neonatal ward of our hospital from January 2018 to December 2018 were selected as the study objects and randomly divided into the control group (70 cases), study group A (65 cases) and study group B (65 cases). The control group was routinely managed according to the routine management of neonatology. Study group A was given pure maternal sound stimulation on the basis of routine management, while study group B was given non-nutritive sucking management on the basis of routine management and pure maternal sound stimulation. The feeding process, feeding performance, body mass growth and feeding intolerance score of each group were compared. Results: The PMA at beginning of oral feeding and transition time of study group A and study group B were significantly shorter than that of the control group, and study group B was significantly shorter than that of study group A, with statistically significant differences (P<0.05). The feeding efficiency at beginning of oral feeding and feeding efficiency at full oral feeding of study group A and study group B were significantly higher than that of the control group, and study group B was significantly higher than that of study group A, with statistically significant differences (P<0.05). The body mass at full oral feeding and body mass at discharge of study group A and study group B were significantly lower than that of the control group, and study group B was significantly lower than study group A, with statistically significant differences (P<0.05). The difference of feeding intolerance scores between study group B and control group was statistically significant (P<0.05). Conclusion: Maternal sound stimulation combined with non-nutritive sucking can promote the process of oral feeding, improve the oral feeding performance, reduce the incidence of feeding intolerance, and speed up the time of recovery to birth body mass.