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目的探讨非营养性吸吮联合腹部按摩对极低出生体重儿体重增长的影响。方法将舟山市妇幼保健院NICU收治的48例需经鼻胃管喂养的极低出生体重儿随机分成两组。对照组(24例)给予单纯经鼻胃管喂养,实验组(24例)在经鼻胃管喂养的基础上辅以非营养性吸吮加腹部抚触,两组均给予同一种早产儿特殊配方乳喂养。观察记录两组胃内残留发生率、鼻胃管留置时间、达到完全肠道营养时间、胎粪完全排尽时间、恢复出生体重时间、体重增长速度、睡眠时间。结果与对照组比较,实验组鼻胃管留置时间较短,达到完全肠道营养时间短,胎粪完全排尽时间短,胃内残留奶量少,恢复出生体重时间及体重增长速度快,睡眠时间相对延长。结论极低出生体重儿在鼻胃管喂养期间辅以非营养吸吮伴腹部抚触的方法,能有效促进胃排空,对其胃肠功能发育及体重增长有促进作用。
Objective To investigate the effect of non-nutritive sucking combined with abdominal massage on the weight gain of very low birth weight infants. Methods 48 cases of low birth weight infants who needed nasogastric tube in the NICU of Zhoushan MCH hospital were randomly divided into two groups. The control group (n = 24) was given nasogastric tube only. The experimental group (n = 24) was fed with nasogastric tube supplemented with non-nutritive sucking and abdominal touching. Both groups were given the same formula Breastfeeding. Observed and recorded the incidence of gastric residual group, nasogastric tube indwelling time, to achieve complete intestinal nutrition time, meconium completely exhausted time to restore birth weight, weight gain, sleep time. Results Compared with the control group, the nasogastric tube in the experimental group had shorter retention time, shorter time to complete enteral nutrition, shorter time to complete meconium discharge, less residual milk in the stomach, faster recovery of birth weight and faster weight gain, sleep The time is relatively extended. Conclusions Very low birth weight children during nasogastric tube feeding supplemented by non-nutritive sucking with abdominal touch can effectively promote gastric emptying and promote their gastrointestinal function and weight gain.