母乳嗅觉刺激联合非营养性吸吮对早产儿喂养效果的影响
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女,硕士在读,主管护师

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广西自然科学基金面上项目(2019JJA140039)


Effects of breast milk olfactory stimulation combined with non-nutritive sucking on feeding of premature infants
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    摘要:

    目的 探讨母乳嗅觉刺激联合非营养性吸吮对早产儿喂养进程及肠内营养并发症的影响,为早产儿营养支持提供参考。 方法 将114例早产儿按照随机数字表法分为对照组和干预组各57例。对照组给予常规管饲喂养护理;干预组在对照组基础上实施母乳嗅觉刺激联合非营养性吸吮,即用0.1 mL母乳(3滴)滴至早产儿舌下,并给予安抚奶嘴进行非营养性吸吮,同时用3 mL母乳将大棉签浸润后放置在距离早产儿鼻腔2~3 cm处进行嗅觉刺激。 结果 干预后,干预组全经口喂养时间、胃管留置时间、肠外营养维持时间及住院时间显著短于对照组(均P<0.05)。两组开始经口喂养时间、出院体质量、喂养不耐受率及医院感染发生率差异无统计学意义(均P>0.05)。 结论 母乳嗅觉刺激联合非营养性吸吮有利于缩短管饲喂养早产儿喂养过渡时间、胃管留置时间、肠外营养维持时间及住院时间,促进早产儿生长发育。

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    Objective To explore the effects of breast milk olfactory stimulation combined with non-nutritive sucking on feeding process and enteral nutrition complications of premature infants, and to provide reference for nutritional support of premature infants. Methods A total of 114 premature infants were randomized into a control group and an intervention group, with 57 in each group.The control group was given conventional tube feeding care, while olfactory stimulation combined with non-nutritive sucking were additionally performed in the intervention group, we dropped 0.1 mL breast milk (3 drops) under the tongue of premature infants, gave pacifier for non-nutritional sucking, and placed a large cotton swab soaking with 3 mL breast milk 2-3 cm away from the nasal cavity of premature infants for olfactory stimulation at the same time. Results After the intervention, the total oral feeding time, gastric tube retention time, parenteral nutrition maintenance time and length of hospitalization in the intervention group were significantly shorter than those in the control group (P<0.05 for all).There were no significant differences in the time of starting oral feeding, discharged body weight, feeding intolerance rate and incidence of nosocomial infection between the two groups (P>0.05 for all). Conclusion Olfactory stimulation of breast milk combined with non-nutritive sucking can shorten feeding transition time, gastric tube retention time, parenteral nutrition maintenance time and length of hospitalization in premature infants fed by tube feeding, and promote their growth and development.

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许冬梅,林梅,黄芝蓉,李正中,梁崔,蒙艳琳,黎荣秋.母乳嗅觉刺激联合非营养性吸吮对早产儿喂养效果的影响[J].护理学杂志,2022,27(15):28-31

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  • 收稿日期:2022-03-12
  • 最后修改日期:2022-04-28
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  • 在线发布日期: 2023-08-29