Law-Morstatt Leslie, Judd Debra M, Snyder Patricia, Baier R John, Dhanireddy Ramasubbareddy
Department of Child and Family Services, Louisiana State University Health Sciences Center, 3730 Blair Street, Shreveport, LA 71103, USA.
J Perinatol. 2003 Sep;23(6):483-8. doi: 10.1038/sj.jp.7210976.
To ascertain whether the implementation of a paced feeding protocol in a sample of preterm infants with respiratory diagnoses will result in the development of more efficient sucking patterns, increased weight gain, decreased incidence of bradycardia during feeding, and shorter length of hospital stay.
A total of 36 premature infants were enrolled into a nonrandomized clinical trial conducted in a neonatal intensive care unit (NICU). The first 18 infants were traditionally bottle-fed. Following this cohort's discharge from NICU, nursing staff completed continuing education on implementing a paced feeding protocol and the next 18 infants were delivered paced feedings.
The two cohorts were equivalent at the initiation of oral feedings on gestational age, birth weight, 1 and 5 minute Apgar scores, weight, and postconceptual age. The paced infants demonstrated statistically and clinically significant decreases in bradycardic incidences during feeding and gains in development of more efficient sucking patterns at discharge. Discharge and average weekly weight gain did not differ between the two groups.
The incorporation of pacing into NICU care practices appears to be beneficial for preterm infants with respiratory disease.
确定在患有呼吸系统疾病的早产儿样本中实施定速喂养方案是否会导致更有效的吸吮模式的形成、体重增加、喂养期间心动过缓发生率降低以及住院时间缩短。
共有36名早产儿参加了在新生儿重症监护病房（NICU）进行的一项非随机临床试验。前18名婴儿采用传统奶瓶喂养。在该队列从NICU出院后，护理人员完成了关于实施定速喂养方案的继续教育，接下来的18名婴儿接受定速喂养。
两组婴儿在开始经口喂养时的胎龄、出生体重、1分钟和5分钟阿氏评分、体重以及孕龄方面相当。接受定速喂养的婴儿在喂养期间心动过缓发生率显著降低，并且在出院时更有效的吸吮模式的形成方面有显著改善。两组之间的出院体重和平均每周体重增加没有差异。
将定速喂养纳入NICU护理实践似乎对患有呼吸系统疾病的早产儿有益。
