抚触合并非营养性吸吮对低体重早产儿生理性黄疸的影响

目的探讨抚触合并非营养性吸吮对低体重早产儿生理性黄疸的影响。方法将160例低体重早产儿根据不同护理方式分为4组,每组40例：单独胃管喂养（A组）；胃管喂养合并非营养性吸吮（B组）；胃管喂养合并抚触（C组）；胃管喂养合并非营养性吸吮和抚触（D组）,计算平均日排便次数、平均日排便量、胎粪排尽时间、黄疸持续时间、经皮胆红素（TCB）动态变化情况。结果D组患儿的胎粪排尽时间、黄疸持续时间和TCB均小于其他各组,D组与A组比较差异有统计学意义（P＜0．05）；平均日排便次数、平均日排便量D组多于其他各组,D组与A组比较差异有统计学意义（P＜0．05）。结论非营养性吸吮和抚触可促进低体重早产儿胃肠道发育,减轻生理性黄疸程度。

Effect of Caring Touch Combined with Non-nutritive Sucking on Physiological Jaundice in Preterm Newborns with Low Birth Weight

Objective To explore the potential treatment effect of massaging and touching combined with non-nutritive sucking on the physiological jaundice in preterm newborns with low birth weight (LBW).Methods One hundred and sixty preterm newborns with LBW(Jan 2003 to Oct 2005) were randomly divided into 4 groups according to the different feeding styles.Group A was fed by intermittent nasoduodenal or intermittent nasogastric feedings(n=40),Group B was fed by nasoduodenal or nasogastric feedings plus non-nutritive sucking (n=40),Group C was fed by nasoduodenal or nasogastrie feedings plus massaging and touching(n=40),and Group D was fed by na- soduodenal or nasogastric feedings plus non-nutritive sucking plus massaging and touching (n=40). The daily feeesing times,daily fecesing quantity,fetus feces drainaging time,the duration of the jaundice,and the transcutaneous bilirubin(TCB) were observed dynamically.Results Group D had decreased the fetus feces drainaging time,duration of the jaundice and TCB than the other 3 groups,with significant difference seen between group D and group A (P<0.05).Group D had higher daily average fecesing frequency and daily average fecesing volume,with significant difference seen between group D and group A (P<0.05).Conclusion Non-nutritive sucking combined with massaging and touching can benefit the gastrointestinal development of preterm newborns with LDW and can help to alleviate the physiological jaundice.