Medoff-Cooper Barbara, McGrath Jacqueline M, Shults Justine
School of Nursing, University of Pennsylvania, Philadelphia 19104, USA.
J Dev Behav Pediatr. 2002 Aug;23(4):231-6. doi: 10.1097/00004703-200208000-00007.
Little research exists that addresses the differences in feeding skills between preterm (PT) infants at term and full-term (FT) infants. The purpose of this study was to quantify and examine the differences in sucking abilities of PT infants when measured at 40 weeks postconceptional age (PCA) and newly born FT infants. The sample consisted of 213 infants who were divided into three groups on the basis of their gestational age at birth (24-29 wk, 30-32 wk, and 38-42 wk). The Kron Nutritive Sucking Apparatus (KNSA) was used to examine the microstructure of sucking and feeding behaviors. There were significant differences among the three groups in several of the sucking variables: number of bursts (p = .005), intersuck interval (p = .0212), sucks per burst (p = .0003), suck width (p < .0001), intersuck width (p < .0001), mean maximum pressure (p < .0001), and intersuck width/interburst width (p = .02). The findings from this study demonstrate the importance of both maturation at birth and experience as factors influencing feeding behaviors.
针对足月早产儿(PT)与足月儿(FT)喂养技能差异的研究较少。本研究的目的是量化并检验孕龄40周时测量的PT婴儿与新出生的FT婴儿吸吮能力的差异。样本包括213名婴儿,根据其出生时的胎龄分为三组(24 - 29周、30 - 32周和38 - 42周)。使用克朗营养吸吮装置(KNSA)来检查吸吮和喂养行为的微观结构。三组在几个吸吮变量上存在显著差异:阵发次数(p = 0.005)、吸吮间隔(p = 0.0212)、每次阵发的吸吮次数(p = 0.0003)、吸吮宽度(p < 0.0001)、吸吮间隔宽度(p < 0.0001)、平均最大压力(p < 0.0001)以及吸吮间隔宽度/阵发宽度(p = 0.02)。本研究结果表明出生时的成熟度和经验作为影响喂养行为的因素都很重要。