重力喂养结合非营养性吸吮俯卧位及抚触治疗等综合护理干预在早产儿喂养疗效观察.docVIP

重力喂养结合非营养性吸吮俯卧位及抚触治疗等综合护理干预在早产儿喂养疗效观察 　　doi：10.3969/j.issn.1007-614x.2014.21.98 　　摘 要 目的：探讨综合护理干预对早产儿喂养效果的影响。方法：2011年12月-2013年12月收治早产儿70例，随机分为研究组和对照组，研究组采用重力喂养结合非营养性吸吮、俯卧位及抚触治疗等综合护理干预护理方式，对照组采用常规间断鼻饲喂养的护理方式，比较两组的喂养情况和耐受情况，包括鼻胃管留置时间、恢复出生的体质量时间和足量胃肠喂养达418.4 kJ/（kg?d）时间等。结果：研究组患儿鼻胃管留置时间、恢复出生的体质量时间和足量胃肠喂养时间均显著低于对照组，两组之间差异具有统计学意义（P0.05）；研究组患儿呕吐、腹胀、胃残留和呼吸暂停的不耐受率均低于对照组，两组之间差异具有统计学意义（P0.05）。结论：重力喂养结合非营养性吸吮、俯卧位及抚触治疗等综合护理干预能够有效地促进早产儿的胃肠道功能成熟，显著提高喂养的耐受性，促进患儿生长发育，改善患儿生存质量。 　　关键词 综合护理 喂养 疗效 　　Efficacy observation of gravity feeding combined with non nutritive sucking， prone positioning and touch therapy and other comprehensive nursing intervention for the preterm infants with feeding 　　Feng Yuqiong 　　The First Maternity and Child Health Hospital of Huizhou City，Guangdong 516001 　　Abstract Objective：To explore the effect of comprehensive nursing intervention on premature infants with feeding.Methods：70 cases of premature infants were selected from December 2011 to December 2013，they were randomly divided into the study group and the control group，the study group used gravity feeding combined with non nutritive sucking，prone positioning and touch therapy and other comprehensive nursing intervention of nursing care，the control group used conventional intermittent nasogastric tube feeding，we compared the feeding and tolerance situation of the two groups，including nasogastric tube indwelling time，recovery birth body time and mass sufficient enteral feeding up to 418.4kJ/（kg?days） time.Results：The nasogastric tube indwelling time，recovery birth body time and mass sufficient enteral feeding time of the study group with was significantly lower than those of the control group，with significant statistical difference between the two groups（P0.05）；the not tolerance rate of vomite，abdominal distention，gastric residual and suspended breathing of the study group were lower than those of the control group，with a significant statistical differences between the two groups（P0.05）.Conclusio