口腔运动干预对早产儿经口喂养表现的临床研究

目的观察口腔运动干预对早产儿经口喂养的效果。方法按随机数字表将128例早产儿分为对照组和观察组各64例。两组早产儿均按医嘱根据胎儿成熟度给予常规喂养,观察组再给予口腔运动干预。每天固定3个时间点通过直接和录像观察喂养表现。结果早产儿禁食天数、鼻饲营养天数、达到完全经口喂养天数、平均住院天数观察组均较对照组缩短;两组在初始吸吮时的节律和强度评分无明显差异(P0.05),早产儿嘴唇、舌头、下颚的协调性及吸吮时其口唇密闭性评分观察组较对照组高(P0.05),吸吮-吞咽-呼吸节律性和协调性评分观察组比对照组高(P0.05);早产儿首次经口喂养和完全经口喂养时口腔运动评估量表测评正常型态例数观察组较对照组多,两组比较差异有统计学意义(P0.05)。结论口腔运动干预有助于早产儿经口喂养的改善。

Clinical research on oral motor intervention for feeding performance of preterm infants

Objective To observe the effect of oral motor intervention on feeding performance of preterm infants. Method Divide 128 preterm infants into observation group and control group equally by random number table. Infants in both two groups receive routine feeding according to medical order and fetal maturity. Infants in observation group receive oral motor intervention based on routine feeding. Observe their performance by watching and monitoring at 3 certain times every day. Result Fasting time, nasal feeding time, time before starting complete oral feeding and average hospitalization time are shorter in observation group. There is no significant difference on rhythm and strength at initial sucking between two groups （P〉0, 05）. Scores on coordination of mouth, tongue and lower jaw and oral tightness during sucking are higher in observation group （P〈0. 05）. Scores on rhythm and coordination of sucking--swallowing--breath are higher in observation group （P〈0. 05）. Observation group has more cases of normal type in oral motor scale at initial oral feeding and complete oral feeding than control group. The result is significant （P〈0. 05）. Conclusion Oral motor intervention can improve oral feeding for preterm infants.