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目的探讨非营养性吸吮并抚触对早产儿喂养不耐受及早期生长发育的影响。方法选择2009年4月至2011年3月本院新生儿病房收治、需间断鼻胃管喂养的早产适于胎龄儿,根据入院单双号分为观察组和对照组,观察组予以非营养性吸吮和抚触,记录两组喂养不耐受和生长发育相关指标。结果观察组(52例)腹胀、胃潴留、第2周末每次奶量<10ml/kg的发生率均低于对照组(45例)[13.5%比33.3%,19.2%比40.0%,5.8%比20.0%,P均<0.05];观察组喂养不耐受发生率低于对照组(23.1%比57.8%,P<0.01);观察组达到经口全胃肠喂养时间、恢复至出生体重时间短于对照组[(12.9±5.5)天比(16.4±5.6)天、(9.7±3.7)天比(11.5±3.5)天,P<0.05],14天时体重、头围增长幅度大于对照组[(20.5±6.8)g比(15.0±7.1)g、(0.7±0.2)cm比(0.5±0.3)cm,P<0.01]。结论非营养性吸吮并抚触能减少早产儿喂养不耐受的发生,促进胃肠功能成熟,加快早产儿早期生长发育。
Objective To investigate the effects of non-nutritive sucking and touching on feeding intolerance and early growth of premature infants. Methods From April 2009 to March 2011, our hospital neonatal ward admitted to the need for intermittent nasogastric tube feeding of premature children suitable for gestational age, according to admission single and double numbers were divided into observation group and control group, the observation group to be non-nutrition Sex sucking and touching, recording two groups of feeding intolerance and growth-related indicators. Results The incidence of abdominal distension and gastric retention in the observation group (52 cases) was lower than that of the control group (45 cases) in the 2nd weekend [13.5% vs. 33.3%, 19.2% vs. 40.0%, 5.8% The incidence of feeding intolerance in the observation group was lower than that in the control group (23.1% vs 57.8%, P <0.01); the observation group reached the time of oral total gastrointestinal feeding and returned to birth weight time Shorter than the control group [(12.9 ± 5.5) days vs (9.7 ± 3.7 days vs 11.5 ± 3.5 days, P <0.05]. The body weight and head circumference increased more than the control group at 14 days (20.5 ± 6.8) g (15.0 ± 7.1) g, (0.7 ± 0.2) cm (0.5 ± 0.3) cm, P <0.01]. Conclusion Non-nutritive sucking and touching can reduce the incidence of feeding intolerance in preterm infants, promote gastrointestinal maturity and accelerate the early growth and development of preterm infants.