Bala Poonam, Kaur Rupinder, Mukhopadhyay Kanya, Kaur Sukhwinder
National Institute of Nursing Education and *Neonatal unit, Department of Pediatrics, PGIMER, Chandigarh, India. Correspondence to: Dr Kanya Mukhopadhyay, Professor, Neonatology Unit, Department of Pediatrics, PGIMER, Chandigarh 160 012, India.
Indian Pediatr. 2016 Jan;53(1):36-8. doi: 10.1007/s13312-016-0786-3.
To assess the effect of additional oromotor stimulation along with routine care on transition from gavage to full oral feeding in preterm neonates.
51 neonates (28-34 weeks) randomized to receive either oromotor stimulation along with routine care (n=25, intervention), or routine care alone (n=26, control) (which included Kangaroo mother care and non-nutritive sucking).
Median (IQR) days to reach partial and full spoon feed were significantly lesser [5(3-9.5) vs 10(5-15) P=0.006; and 7(5-14.5) vs 12.5(7-21); P=0.03] in intervention than in control group, respectively. A significantly higher number (56%) in intervention group as compared to control group (31%) achieved partial direct breast feeding at discharge (P=0.01).
Oromotor stimulation along with routine care reduces the duration of gavage feeding in preterm neonates.
评估在常规护理基础上加用口面部运动刺激对早产儿从管饲过渡到完全经口喂养的影响。
51例28 - 34周的新生儿被随机分为两组，一组接受常规护理加口面部运动刺激（n = 25，干预组），另一组仅接受常规护理（n = 26，对照组）（常规护理包括袋鼠式护理和非营养性吸吮）。
干预组达到部分勺喂和完全勺喂的中位天数（四分位间距）显著少于对照组[分别为5（3 - 9.5）天对10（5 - 15）天，P = 0.006；7（5 - 14.5）天对12.5（7 - 21）天，P = 0.03]。与对照组（31%）相比，干预组出院时实现部分直接母乳喂养的比例显著更高（56%）（P = 0.01）。
常规护理加口面部运动刺激可缩短早产儿管饲喂养的持续时间。
