Thakkar Pareshkumar A, Rohit H R, Ranjan Das Rashmi, Thakkar Ukti P, Singh Amitabh
a Department of Pediatrics , Medical College Baroda and Sir Sayaji General Hospital , Vadodara , India.
b Department of Pediatrics , All India Institute of Medical Sciences , Bhubaneswar , India.
Paediatr Int Child Health. 2018 Aug;38(3):181-186. doi: 10.1080/20469047.2018.1435172. Epub 2018 Feb 19.
In preterm infants, oral stimulation enhances muscle tone and movement which facilitates normal oral motor developmental patterns improving oral feeding performance.
To study the effects on feeding performance, transition to independent oral feeding, weight gain and length of hospital stay of an oral stimulation programme in preterm neonates.
This randomised controlled trial was conducted in a tertiary care teaching hospital over a period of 10 months. Altogether, 102 preterm neonates (30-34 weeks gestation) were randomised into the intervention group (oro-motor stimulation for 5 min twice a day, n = 51) or the control group (routine care only, n = 51). The primary outcome measures were feeding performance, and transition period to reach independent oral feeding.
There was better feeding performance (overall intake and rate of milk transfer), shorter transition to independent oral feeding, better weight gain and shorter length of hospital stay in the intervention group (p < 0.001).
Oral stimulation improves feeding performance, weight gain rate and reduces hospital stay in preterm neonates born between 30 and 34 weeks of gestation. [Trial registration number: CTRI/2017/05/008630].
在早产儿中，口腔刺激可增强肌张力和运动，这有助于形成正常的口腔运动发育模式，从而改善经口喂养表现。
研究口腔刺激方案对早产儿喂养表现、过渡到自主经口喂养、体重增加及住院时间的影响。
这项随机对照试验在一家三级护理教学医院进行，为期10个月。总共102例早产儿（妊娠30 - 34周）被随机分为干预组（每天两次口腔运动刺激，每次5分钟，n = 51）或对照组（仅接受常规护理，n = 51）。主要结局指标为喂养表现以及过渡到自主经口喂养的时间。
干预组的喂养表现（总体摄入量和乳汁转移率）更佳，过渡到自主经口喂养的时间更短，体重增加情况更好，住院时间更短（p < 0.001）。
口腔刺激可改善妊娠30至34周出生的早产儿的喂养表现、体重增加率并缩短住院时间。[试验注册号：CTRI/2017/05/008630]
