非营养性吸允对低体重儿心电指标及消化功能的影响

摘要

Objective:To explore the impact of Non-nutritive sucking on low birth weight children with electrocardiographic (ECG)indicators and digestive function.Method:124 low birth weight children from the First Child Health Hospital of huizhou city that from June 2013 to October 2014 were randomly divided into observation group and control group,62 cases in each group,the newborns in the control group were used Enteral nutrition through a stomach tube feeding.and the newborns in the observation group were used non-nutritive sucking on the basis of the control group. Result:The Abnormal heart rhythms rate in the control group was 4.8% that was significantly lower than that was 17.7% in the observation group.The Bowel sounds normal rate in the control group was 96.8 % that was significantly higher than that was 82.3% in the observation group.the spits incidence was 3.2% in the control group that was significantly lower than that was 12.9% in the observation group.The abdominal distension incidence was 14.5% in the control group that was significantly lower than that was 12.9% in the observation group.The Fully meet the gastrointestinal feeding days was (15.3±2.3)d in the control group that was significantly lower than that was (18.7±2.6)d in the observation group,and the Indwelling tube days was (12.7±2.3)d in the control group that was significantly lower than that was (17.3±3.0)d in the observation group.Conclusion:Non-nutritive sucking could effectively reduce the incidence of abnormal heart rhythms rate, reduced spits, the incidence of diarrhea, and promote recovery of gastrointestinal function, reduce gastric retention time.%目的：探讨非营养性吸允对低体重儿心电指标及消化功能的影响。方法：将惠州市第一妇幼保健院2013年6月-2014年10月收治的124例低出生体重儿随机分为观察组与对照组，每组各62例，对照组新生儿采用经插入胃管进行肠内营养喂养，观察组新生儿在对照组基础上采用非营养性吸允干预。结果：观察组新生儿心率异常的发生率显著低于对照组（4.8% vs 17.7%）；观察组新生儿的肠鸣音正常率显著高于对照组（96.8% vs 82.3%），差异有统计学意义（P<0.01）；观察组吐奶发生率（3.2% vs 12.9%）、腹胀发生率（3.2% vs 14.5%）、完全达到胃肠道喂养天数[（15.3±2.3）d vs（18.7±2.6）d]、留置胃管时间天数[（12.7±2.3）d vs （17.3±3.0）d]均显著低于对照组（P<0.001）。结论：非营养性吸允可有效降低新生儿心率异常的发生率，降低吐奶、腹泻发生率，促进胃肠道功能恢复，降低胃管留置时间。