Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Fujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China.
J Cardiothorac Surg. 2020 Oct 9;15(1):309. doi: 10.1186/s13019-020-01355-0.
To investigate the effect of early oral stimulation with breast milk on the feeding behavior of infants after congenital cardiac surgery.
Infants with congenital heart disease were randomly divided into the breast milk oral stimulation group (n = 23), physiological saline oral stimulation group (n = 23) and control group (n = 23). Debra Beckman's oral exercise program was used with breast milk and physiological saline in the breast milk oral stimulation group and the physiological saline oral stimulation group, respectively. The time oral feeding and total oral nutrition were started, the length of intensive care unit (ICU) stay and hospital stay, weight and the complications at discharge were recorded for each group and statistically analyzed.
The time oral feeding and total oral nutrition were started and the length of ICU stay and hospital stay were significantly less in the breast milk oral stimulation group and physiological saline oral stimulation group than in the control group (P < 0.05). There were no significant differences in other indicators between the breast milk oral stimulation group and the physiological saline oral stimulation group, except for the time total oral nutrition began (P < 0.05). However, there were no significant differences in weight or complications at discharge among the three groups (P > 0.05).
Early oral stimulation exercises with breast milk can help infant patients quickly recover total oral nutrition and reduce the length of ICU and hospital stay after cardiac surgery.
探讨先天性心脏病心脏术后早期经口给予母乳刺激对婴儿喂养行为的影响。
将先天性心脏病患儿随机分为母乳口腔刺激组（n=23）、生理盐水口腔刺激组（n=23）和对照组（n=23）。使用 Debra Beckman 口腔运动方案，分别用母乳和生理盐水对母乳口腔刺激组和生理盐水口腔刺激组进行口腔刺激。记录各组开始经口喂养的时间、总经口营养时间、入住重症监护病房（ICU）时间和住院时间、体质量及出院时并发症，并进行统计学分析。
母乳口腔刺激组和生理盐水口腔刺激组开始经口喂养和总经口营养的时间以及入住 ICU 时间和住院时间均显著短于对照组（P<0.05）。母乳口腔刺激组和生理盐水口腔刺激组间除总经口营养开始时间（P<0.05）外，其他指标差异均无统计学意义。但三组患儿体质量或出院时并发症差异均无统计学意义（P>0.05）。
早期经口给予母乳刺激口腔运动可帮助患儿术后迅速恢复经口全营养，减少心脏术后入住 ICU 时间和住院时间。
