非营养性吸吮联合母亲声音刺激干预在早产儿喂养中的应用效果研究

摘要

目的 探讨非营养吸吮联合母亲声音刺激应用在早产儿喂养中的应用效果.方法随机抽样选取2016年7月至2017年7月在贵州医科大雪附属医院新生儿科收治的早产儿129例.按照随机数字表法分为3组:NNS组、对照组(常规护理组)、NNS+MSS组各43例.NNS组给予非营养性吸吮,对照组给予新生儿一般常规治疗和护理,NNS+MSS组给予非营养性吸吮联合母亲声音刺激.观察3组早产儿喂养过渡时间情况、初次进食持续时间情况、住院天数情况.结果 NNS+MSS组的喂养过渡时间、初次喂养持续时间、住院天数3项得分分别为(8.60 ± 1.24)d、(8.16 ± 1.74) min、(13.26 ± 1.84)d,NNS组分别为(12.09 ± 2.10)d、(4.72 ± 1.45)min、(14.70 ± 1.79)d,对照组分别为(17.70 ± 2.30)d、(2.28 ± 1.39)min、(19.81 ± 4.17)d,3组比较差异有统计雪意义(F=242.085、159.313、63.856,均P＜0.01);结论 非营养性吸吮联合母亲声音刺激能够促进早产儿尽早从鼻饲喂养向完全经口喂养转换,减少中间转换时间,加快喂养进程,缩短住院天数.%Objective to explore the effect of non nutritive sucking combined with maternal voice stimulation on feeding process in premature infants. Methods A total of 129 premature infants admitted to the neonatal department of a tertiary hospital from July 2016 to July 2017 were randomly selected. According to the random number table method, there were 3 groups: NNS group, control group (routine nursing group), and NNS+MSS group, each with 43 cases. Non-nutritive sucking was given in the NNS group, general routine treatment and nursing in the control group, and non-nutritive sucking combined with mother's voice stimulation in the NNS+MSS group. The duration of feeding, initial feeding and hospitalization were observed in 3 groups. Results NNS+MSS group feeding transition time, the first feeding duration, hospitalization days three points respectively (8.60 ± 1.24)d, (8.16 ± 1.74)min, (13.26 ± 1.84)d, and NNS group respectively (12.09 ± 2.10) d, (4.72±1.45) min, (14.70±1.79) d, the control group, respectively (17.70±2.30) d (2.28 ± 1.39) min (19.81± 4.17) d. The differences between the three groups were statistically significant (F=242.085, 159.313, 63.856, all P<0.05). Conclusions Non nutritive sucking combined with mother sound stimulation can promote early feeding from nasal feeding to complete transoral feeding as soon as possible, reduce intermediate conversion time, accelerate feeding process and shorten hospitalization time.